The American Academy of Pediatrics has endorsed NHLBI guidelines that recommend all children over 3 years of age have BP measured at least annually for early recognition of BP abnormalities such as hypertension or syncope, although studies have shown this screening is rarely done in children. ![]() Often these tables are used incorrectly or not at all. Instead complex BP tables consisting of 476 threshold blood pressure values are used to lookup the BP percentile for a child. While BP tracks with growth in children, similar to anthropometric measurements such as height and weight, it is not currently charted in the same way using growth charts. While adult blood pressure thresholds are static, 140/90 mmHg for hypertension and 90/60 mmHg for hypotension, each child has his/her own BP thresholds based on gender, age, and height percentile. Recognizing blood pressure (BP) abnormalities in children is more cumbersome than in adults and contributes to underdiagnoses in pediatrics.
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