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Despite Tests, Pediatricians May Miss Elevated BP in Kids
The American Academy of Pediatrics (AAP) guidelines call for regular BP checks in children three years and older to screen for elevated BP. They say elevated BP on three consecutive medical visits qualifies as hypertension.
Even a single episode of high BP can indicate hypertension and should trigger repeat measurements during the visit and subsequent doctor visits, the AAP says.
The problem is that measuring a child's BP is far more complicated than it is in adults and requires interpreting each individual measure against a reference table for age, gender and height, says lead author Tammy Brady, nephrologist at Hopkins Children's Hospital in the US.
Researchers at Hopkins analysed 2,500 records of visits to the pediatrician's office. Medical staff did not check BP in 500 cases.
Elevated BP scores were recorded in 726 cases of the 2,000 measurements taken, but the implications went unrecognized and unremarked upon in 87 percent of them, the study found.
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