development of a simple tool for diagnosis and initial approach to hypertension and pre-hypertension in children and youth开发一个简单的工具来诊断和初始方法在儿童和青少年高血压和高血压.pdfVIP

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development of a simple tool for diagnosis and initial approach to hypertension and pre-hypertension in children and youth开发一个简单的工具来诊断和初始方法在儿童和青少年高血压和高血压.pdf

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development of a simple tool for diagnosis and initial approach to hypertension and pre-hypertension in children and youth开发一个简单的工具来诊断和初始方法在儿童和青少年高血压和高血压

Open Journal of Pediatrics, 2012, 2, 106-110 OJPed /10.4236/ojped.2012.22018 Published Online June 2012 (http://www.SciRP.org/journal/ojped/) Development of a simple tool for diagnosis and initial approach to hypertension and pre-hypertension in children and youth 1,2 1 3 1,4 1,5 Silviu Grisaru , Kay Watson-Jarvis , Catherine M. McKenna , Josephine Ho , Joyce R. Harder , Rebecca A. Trussell1,4 1Alberta Children’s Hospital, Alberta Health Services, Calgary, Canada 2Division of Pediatric Nephrology, Department of Pediatrics, University of Calgary, Calgary, Canada 3Department of Family Medicine, University of Calgary, Calgary, Canada 4Division of Pediatric Endocrinology, Department of Pediatrics, University of Calgary, Calgary, Canada 5Division of Pediatric Cardiology, Department of Pediatrics, University of Calgary, Calgary, Canada Email: sgrisaru@ucalgary.ca Received 17 January 2012; revised 29 March 2012; accepted 10 April 2012 ABSTRACT 1. INTRODUCTION Background: Hypertension and pre-hypertension in Hypertension affects almost one in four adults and its children and adolescents are frequently missed de- prevalence continues to rise [1,2]. It is recognized as a spite current screening recommendations and the leading cause for cardiovascular disease, cerebrovascular potential benefit for early diagnosis and intervention. accidents and end-stage renal disease [3-5]. Hypertension Difficulty in interpretation of office blood pressure and its resultant complications do occur in childhood an