To screen or not to screen: for high blood pressure

Association of Renal Glomerular and Tubular Function With Renal Outcome in Patients With Posterior Urethral Valves

“…12 Despite this, measurement of blood pressure has not become a part of routine clinical practice outside of the pediatric nephrology context. 21 In line with this, there are only few previous studies reporting the incidence of HTN in PUV patients. Parkhouse et al reported that 9% of the PUV patients were hypertensive, whereas in the studies of Lopez Pereira et al and Vasconcelos et al, the prevalence of HTN was 13% and 21%, respectively.…”

Pediatric Renovascular Hypertension: A Pediatric Interventional Radiologist's Perspective

“… 1 Despite guidelines from various societies, there is inconsistent effort to regularly measure blood pressures (BP) in children and most cases of pediatric hypertension are diagnosed incidentally. 2 By definition, the presence of systolic BP more than 95 th percentile for that age, sex, and height is considered as pediatric hypertension. 3 Up to 10% of these cases are attributed to renovascular hypertension (RVH) that is due to any lesion reducing blood flow to part or one or both kidneys, with resulting alterations in the renin–angiotensin system.…”

Renovascular hypertension in children

“…Paediatric hypertension is defined as systolic blood pressure > 95th percentile for age, sex and height (National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents 2004 ). Despite guidelines from USA and Europe strongly recommending regular blood pressure screening in children (Tullus 2018 ), blood pressure in children is not often measured therefore, hypertension is usually an incidental diagnosis in childhood. Early identification and management of hypertension can help reduce the risk of long term cardiac and cerebrovascular events and renal impairment (Bartosh and Aronson 1999 ; Zhu et al 2014 ).…”