scholarly journals Pediatric hypertension based on Japanese Society of Hypertension Guidelines (JSH 2019) with actual school blood pressure screening data in Japan

2021 ◽  
Author(s):  
Toru Kikuchi
Keyword(s):  
Blood Pressure ◽  
Japanese Society ◽  
Pediatric Hypertension ◽  
Hypertension Guidelines ◽  
Blood Pressure Screening

scholarly journals The Japanese Society of Hypertension Guidelines for Self-monitoring of Blood Pressure at Home (Second Edition)

2012 ◽  
Vol 35 (8) ◽  
pp. 777-795 ◽  
Author(s):  
Yutaka Imai ◽  
◽  
Kazuomi Kario ◽  
Kazuyuki Shimada ◽  
Yuhei Kawano ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Japanese Society ◽  
Self Monitoring ◽  
Hypertension Guidelines ◽  
At Home

Abstract 168: Routine Blood Pressure Screening in an Asymptomatic Pediatric Population

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
David A Knorek ◽  
Qi Shi ◽  
Linda Thomas-Hemak ◽  
Carlos Acuna ◽  
Richard May
Keyword(s):  
Blood Pressure ◽  
Pediatric Population ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Pediatric Hypertension ◽  
Asymptomatic Children ◽  
Blood Pressure Screening ◽  
Well Child Visit ◽  
Child Visit

Background Hypertension is on the rise in the pediatric population. Untreated hypertension is the basis for CV disease. The intent of this study is to encourage routine pediatric blood pressure screening. Methods A nine question phone survey of regional NE PA pediatricians, family physicians, and internists regarding the routing exam of asymptomatic children. Results 20 out of 31 (64.5%) respondents participated in this survey. 8 of the 11 (72.7%) contacts that did not participate were unable to be reached for reasons including incorrect contact information or failure to provide a callback, and the remaining 3 contacts rejected participation directly. The average age for annual blood pressure screening was 2.6 years old. All 20 participants (100%) follow blood pressure readings in asymptomatic children, and a majority of these respondents (85%) answered “yearly” follow-up for blood pressure in asymptomatic children. When asked whether parents accompany the well-child visit, 90% answered yes. Well-baby checks are stopped at a 50/50 split between 18 months and 24 months. When asked about how elevated blood pressure in a well-visit is followed in asymptomatic children, the responses varied. Responses included bringing back the patient within 48 hours for follow-up to 1-month follow-up, in addition to further testing for thyroid and kidney concerns. All 20 of the participants answered that BMI is monitored during the well-child visit, and 2.5 years of age was the average response to what age BMI monitoring begins. Conclusion Our data reflects the need to generate a greater understanding of how clinicians are screening asymptomatic pediatric populations, and then following up once an elevated blood pressure is recorded. It could be hypothesized as pediatric hypertension rates continue to rise there will be greater incidences of cardiovascular and neurovascular-related sequelae in adult populations as well.

scholarly journals Blood Pressure Screening in the Workplace

AAOHN Journal ◽  
1989 ◽  
Vol 37 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Betsy Leigh ◽  
Diane Guisinger ◽  
Judy Fech
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Screening

scholarly journals Thoracic Aortic Calcification and Pre-Clinical Hypertension by New 2017 ACC/AHA Hypertension Guidelines

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1027
Author(s):  
Ya-Ting Jan ◽  
Pei-Shan Tsai ◽  
Chris T. Longenecker ◽  
Dao-Chen Lin ◽  
Chun-Ho Yun ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Surrogate Marker ◽  
Heart Association ◽  
Aortic Calcification ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Contributing Factors ◽  
Hypertension Guidelines ◽  
Pressure Threshold ◽  
Thoracic Aortic Calcification

The recently revised 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension (HTN) guidelines employ a lower blood pressure threshold to define HTN, aiming for earlier prevention of HTN-related cardiovascular diseases (CVD). Thoracic aortic calcification (TAC), a new surrogate marker of aging and aortic medial layer degeneration, and different stages of HTN, according to the 2017 ACC/AHA HTN guidelines, remain unknown. We classified 3022 consecutive asymptomatic individuals enrolled into four HTN categories using the revised 2017 ACC/AHA guidelines: normal blood pressure (NBP), elevated blood pressure (EBP), and stage 1 (S1) and stage 2 (S2) HTN. The coronary artery calcification score and TAC metrics (total Agaston TAC score, total plaque volume (mm3), and mean density (Hounsfield units, HU)) were measured using multi-detector computed tomography. Compared to NBP, a graded and significant increase in the TAC metrics was observed starting from EBP and S1 and S2 HTN, using the new 2017 ACC/AHA guidelines (NBP as reference; all trends: p < 0.001). These differences remained consistent after being fully adjusted. Older age (>50 years), S1 and S2 HTN, prevalent diabetes, and chronic kidney disease (<60 mL/min/1.73 m2) are all independently contributing factors to higher TAC risk using multivariate stepwise logistic regressions (all p ≤ 0.001). The optimal cutoff values of systolic blood pressure, diastolic blood pressure, and pulse pressure were 121, 74, and 45 mmHg, respectively, for the presence of TAC after excluding subjects with known CVD and ongoing HTN medication treatment. Our data showed that the presence of TAC starts at a stage of elevated blood pressure not categorized as HTN from the updated 2017 ACC/AHA hypertension guidelines.

scholarly journals May Measurement Month 2017: an analysis of blood pressure screening results from the United Arab Emirates—Northern Africa and Middle East

2019 ◽  
Vol 21 (Supplement_D) ◽  
pp. D118-D120 ◽  
Author(s):  
Afzalhussein Yusufali ◽  
Nooshin Bazargani ◽  
Amrish Agrawal ◽  
Khalifa Muhammed ◽  
Hanan Obaid ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Middle East ◽  
United Arab Emirates ◽  
Northern Africa ◽  
Blood Pressure Screening

Validity of Mass Blood Pressure Screening in Children

PEDIATRICS ◽  
1983 ◽  
Vol 72 (4) ◽  
pp. 459-463 ◽  
Author(s):  
David E. Fixler ◽  
W. Pennock Laird
Keyword(s):  
Blood Pressure ◽  
High School Students ◽  
Diastolic Pressure ◽  
Screening Program ◽  
Initial Screening ◽  
School Students ◽  
Blood Pressure Elevation ◽  
Blood Pressure Screening ◽  
Tenth Grade ◽  
Childhood Hypertension

The validity of a mass blood pressure screening program carried out on Dallas high school students who were followed for at least 3 years is reported. Blood pressure results on initial screening in the tenth grade were related to outcome blood pressure status. The frequency of initial blood pressure elevation (systolic and/or diastolic pressure above the 95th percentile) was 10%, whereas the prevalence of sustained elevation in the tenth grade was less than 2%. The initial screening correctly identified 72% of those who had sustained elevations on all three tenth grade examinations (sensitivity), and correctly identified 91% of those who did not have sustained elevations (specificity). However, the predictive value of an initial positive screening result was low, at only 17% (152/900). The high proportion of false-positive results represents a significant cost to any blood pressure screening program, both in economic terms and in its potential for creating anxiety among families with children having only transiently elevated blood pressure. Because the costs are high and the yield from mass screening of children low, case finding of childhood hypertension should remain the responsibility of the physician who sees children in the clinical setting.

The outcome of two-step blood pressure screening in dental healthcare

2018 ◽  
Vol 46 (6) ◽  
pp. 623-629
Author(s):  
Helen Andersson ◽  
Lennart Hedström ◽  
Stefan Bergman ◽  
Håkan Bergh
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Cardiovascular Mortality ◽  
European Society ◽  
Risk Estimation ◽  
Screening Method ◽  
Newly Diagnosed ◽  
Step Method ◽  
Number Needed To Screen ◽  
Blood Pressure Screening

Aim: The purpose of this study was to evaluate a two-step screening method for hypertension in dentistry regarding the number needed to screen (NNS) and positive predictive value (PPV) and to risk-classify those with newly diagnosed hypertension. Methods: In connection with their regular dental care check-up, 2025 subjects aged 40–75 years were screened for high blood pressure. Via a health questionnaire, data were collected concerning risk factors. Blood pressure was screened comprehensively in two steps, which included screening in a dental clinic and home measurements for one week. Recently discovered hypertensive participants were assessed for 10-year risk of cardiovascular mortality according to the guidelines of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). Results: A total of 170 new hypertensive participants were found (NNS = 12; 95% confidence interval (CI): 11–13). The method yielded a PPV of 0.73 (95% CI: 0.68–0.78) and eliminated 84.8% of the false-positive participants. The results also showed that based on ESH/ESC risk estimation, 76.5% of those newly diagnosed hypertensive participants had a moderate or high risk of cardiovascular mortality within 10 years. Conclusions: The study shows that a two-step method for blood pressure screening in a dental setting including home measurement resulted in a high PPV and eliminated most of those with a false high blood pressure reading. The findings also show that two-step screening for hypertension is feasible in a larger population with more screening providers involved.

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