Dr. Blumenthal Replies

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 336-336
Author(s):  
Sidney Blumenthal
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Task Force ◽  
Pressure Control

I am responding to the letter from Dr. Berenson and his colleagues at the request of the members of the Task Force on Blood Pressure Control in Children. Their comments and reactions to the letter are incorporated into this response. The members of the Task Force would like to express their appreciation for the very thoughtful comments in the Berenson letter. It is encouraging to note that internists have become involved in the problems and challenges of blood pressure control in children.

Blood Pressure Measurement

PEDIATRICS ◽  
1987 ◽  
Vol 80 (6) ◽  
pp. 967-968
Author(s):  
SOL LONDE
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Measurement ◽  
Task Force ◽  
Blood Pressure Measurement ◽  
Qualitative Change ◽  
Pressure Control ◽  
Age Group ◽  
Subjective Judgment ◽  
Preadolescent Children

To the Editor.— The report of the Second Task Force on Blood Pressure Control in Children1 recommends the use of K4 in preadolescent children because the authors say that K5 readings are frequently difficult to obtain in that age group, and K5 is easier to record in adolescents. We have used K5 in our studies because we are more certain of it. We have challenged the use of K4 because its recognition depends on subjective judgment of a qualitative change in the character of the sounds.2

Blood Pressure Cuff Confusion

PEDIATRICS ◽  
1988 ◽  
Vol 81 (2) ◽  
pp. 328-329
Author(s):  
JENNIFER LOGGIE
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Task Force ◽  
Pressure Control ◽  
Blood Pressure Cuff ◽  
Upper Arm ◽  
Pressure Cuff ◽  
Published Report ◽  
Transcription Error ◽  
Cuff Size

To the Editor.— Since the report of the Second Task Force on Blood Pressure Control in Children (Pediatrics 1987;79:1-25) was published, several individuals have asked me (1) why we changed the recommendation for cuff size from one that covers two thirds to one that covers three quarters of the upper arm and (2) what data formed the basis for this change in recommendations? When I reread the published report to verify cuff size recommendations, it appeared to me that somewhere along the line a transcription error had taken place.

Children's Blood Pressure in the United States

PEDIATRICS ◽  
1980 ◽  
Vol 66 (2) ◽  
pp. 328-329
Author(s):  
Sidney Blumenthal ◽  
W. McFate Smith ◽  
Robert C. Tarazi ◽  
Ronald Lauer ◽  
Mary Jane Jesse
Keyword(s):  
United States ◽  
Blood Pressure ◽  
Blood Pressure Control ◽  
Task Force ◽  
Adult Life ◽  
Pressure Control ◽  
The United States ◽  
Blood Pressures ◽  
The Relationship

We have read Dr Forrest Adams' note entitled "Blood Pressure of Children in the United States" (Pediatrics See Table in the PDF File 61:931, 1978) in which he comments on specific sections of a report of a Task Force on Blood Pressure Control in Children. Knowledge concerning the relationship between blood pressure in children and subsequent health in adult life should be of continuous interest to all pediatricians. Dr Adams states that it is misleading to present percentile graphs of US children's blood pressures for reference because US children's blood pressures increase with age while other cultures fail to show an increase from infancy to 50 years.

K5 = Diastolic Pressure

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 1002-1002
Author(s):  
Bruce S. Alpert ◽  
Lloyd Marks ◽  
Myron Cohen
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Diastolic Pressure ◽  
Task Force ◽  
Pressure Control ◽  
Normal Blood ◽  
Reference Standard ◽  
Normal Blood Pressure ◽  
Korotkoff Sound ◽  
Ks Values

The Report of the Second Task Force on Blood Pressure Control in Children—19871 has served as the "reference standard" for normal blood pressure (BP) on children from age 3 through 18. The authors recommended that for children from 3 to 12 years old the 4th Korotkoff sound (K4) be utilized to determine diastolic BP. In reviewing that document, we find that this was chosen not because of a well-demonstrated correlation of K4 with measured diastolic BP, but because KS values were not always obtained in the databases from which the final analyses were performed.

Blood pressure of children in the United States

PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 931-932
Author(s):  
Forrest H. Adams
Keyword(s):  
United States ◽  
Blood Pressure ◽  
Physical Examination ◽  
Hypertensive Patient ◽  
Blood Pressure Control ◽  
Task Force ◽  
Pressure Control ◽  
The United States ◽  
Blood Institute ◽  
National Heart Lung

Recently a Task Force of the National Heart, Lung and Blood Institute published a report in Pediatrics on blood pressure control in children.1 The report was good in many respects in that it presented in summary form a critique of what we currently know and do not know about blood pressure in children. Particularly good for pediatricians were the sections on methodology for measurement of blood pressure; mechanisms and causes of hypertension; evaluation of the hypertensive patient; and treatment of the hypertensive patient. The Task Force stressed the importance of further research in the field of blood pressure control in children and specifically recommended that physicians incorporate the measurement of blood pressure in the annual physical examination after 3 years of age.

Report of the Second Task Force on Blood Pressure Control in Children—1987

PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 1-25 ◽  
Author(s):  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Task Force ◽  
Clinical Problem ◽  
Pressure Control ◽  
Task Force Report ◽  
Ample Evidence ◽  
Clinical Hypertension ◽  
Nonpharmacologic Treatment ◽  
The Relationship

Although the prevalence of clinical hypertension is of a far lesser magnitude in children than adults, there is ample evidence to support the concept that the roots of essential hypertension extend back into childhood. Prospective cohort data that could yield precise information about the relationship between childhood BP and cardiovascular risk are not yet available. Nonetheless, high BP in children represents a significant clinical problem which in 1977 was comprehensively addressed by the Task Force on Blood Pressure Control in Children. Contained herein, 10 years later, is the revised version of the original Task Force report including normative BP data derived from sampling more than 70,000 children, as well as advice on methodology and instrumentation for BP measurement, guidelines for detecting children with high BP, and strategies for appropriate diagnostic evaluation and pharmacologic and nonpharmacologic treatment.

Sign in / Sign up

Export Citation Format

Share Document