>>>
>>> SO
>>> SO HIGH BLOOD PRESSURE IS USUALLY SOMETHING THAT YOU
THINK ADULTS HAVE TO DEAL WITH,
BUT MAYBE NOT SO MUCH FOR KIDS.
HOWEVER, IF YOU DON'T IDENTIFY
THIS IN CHILDREN, IT COULD
CAUSE SERIOUS PROBLEM.
>> DR. DON IS JOINING US.
FIRST OF ALL, WHAT IS
HYPERTENSION?
HYPERTENSION? >> IT IS REALLY ELEVATED BLOOD
PRESSURE AND THE SAYING GOES
THAT CHILDREN ARE NOT SMALL
ADULTS WHEN IT COMES TO
TREATING DISEASE, BUT
CHILDREN'S CHRONIC DISEASES
LIKE OBESITY FORWARD INTO ADULT
DISEASES.
DISEASES.
DISEASES. SO FINDING AND TREATING, IF YOU
NEED TO, HIGH BLOOD PRESSURE IN
CHILDREN IS A PRIORITY.
THE AMERICAN ACADEMY OF
PEDIATRICS JUST INTRODUCED A 50
PAGE RESEARCH STUDY AND
GUIDELINES FOR CLINICAL
PRACTITIONERS LAST FALL, WHICH
IS A ROADMAP FOR EVERY
PEDIATRIC PRACTITIONER AND
EVERY CLINICIAN AND EVERY
FAMILY PRACTICE DOCTOR TO
IDENTIFY WHEN TO TEST AND WHAT
TO DO AND WHEN TO REFER WHEN
YOU DISCOVER KIDS WITH ELEVATED
BLOOD PRESSURE.
BLOOD PRESSURE. >> WHICH GETS HER MOST AT RISK
FOR THIS?
FOR THIS?
FOR THIS? >> THE PREVALENCE RATE FOR
NORMAL CHILDREN -- AND THE
AMERICAN ACADEMY OF PEDIATRIC
GUIDELINES HAS A NEW TABLE THAT
TALKS ABOUT WHAT IS ELEVATED
PRESSURE IN NORMAL CHILDREN
USING 50,000 CHILDREN AS A BASE
-- BUT EVERY CHILD IS AT RISK
BECAUSE THE PREVALENCE RATE IS
ONE OUT OF 18 CHILDREN, AND
WITH ADULTS, REMEMBER THAT ONE
THIRD OF ADULTS HAVE
HYPERTENSION.
HYPERTENSION. SO WHEN YOU FIND ELEVATED BLOOD
PRESSURE IN THE CHILD, THERE IS
SOMETHING THAT YOU SHOULD DO
AND EVERY PRACTICE SHOULD HAVE
THE SIMPLIFIED SCREENING TABLE
THAT HAS BEEN INCLUDED IN THE
GUIDELINES THAT TALKS ABOUT,
WELL, HERE IS ELEVATED BLOOD
PRESSURE.
PRESSURE.
PRESSURE. SO THEY ARE VERY SPECIFIC.
>> WHAT ARE THE GENERAL FACTORS
FOR PEOPLE WHO HAVE KIDS THAT
MIGHT FIT INTO THESE CATEGORIES?
>> AGAIN, PREMATURITY, WE KNOW
THAT THAT IS A RISK AND WE KNOW
THAT OBESITY IS A RISK AND
CHRONIC KIDNEY DISEASE IS A RISK
AND ALSO CHRONIC HEART DISEASE.
THERE ARE A LOT OF THINGS THAT
WE KNOW THAT CONTRIBUTE TO
HYPERTENSION, BUT MOST PEOPLE
WITH HYPERTENSION ARE UNAWARE
OF THIS AND IT BECOMES
UNDETECTED AND UNRECOGNIZED AND
THEN UNTREATED.>> THERE ARE
SIGNS THAT YOUR KID MIGHT HAVE
HIGH BLOOD PRESSURE, RIGHT?
WHAT HAPPENS IF YOU FIND THAT
OUT?
OUT?
OUT? >>
OUT? >> IF INDEED YOU DISCOVER THAT
YOUR CHILD HAS ELEVATED BLOOD
PRESSURE, REMEMBER THAT WHEN
READING DOES NOT MAKE A
DIAGNOSIS.
DIAGNOSIS. I THINK THAT IS THE KEY THING.
LOOKING AT THIS ROADMAP THERE
SAYING THAT IF IT IS ELEVATED,
MOST OF THE TIME IT IS EITHER
ANXIETY, THEY JUST FINISHED
PHYSICAL ACTIVITY, OR THEIR --
THERE MIGHT BE A LOT OF REASONS
THAT THE BLOOD PRESSURE MIGHT
BE ELEVATED.
BE ELEVATED. AND THEN DO HAVE THEM COME BACK
? AND YES, THAT IS A GOOD THING
TO DO AND DO ANOTHER READING.
AND THERE ARE ALSO SOME THINGS
THAT YOU CAN DO THAT ARE CALLED
AMBULATORY BLOOD PRESSURE
MONITORING.
MONITORING. IF IT IS ELEVATED ON SEVERAL
VISITS, YOU MIGHT WANT TO SET
UP A REFERRAL TO SEND THEM TO
SOMEONE WHO CAN DO SPECIAL
MONITORING AT HOME.
>> YOU BROUGHT SOME THINGS WITH
YOU.
YOU.
YOU. >>
YOU. >> THIS IS A REGULAR BLOOD
PRESSURE CUFF.
PRESSURE CUFF. MOST OFFICES WILL DO AUTOMATIC
OR MACHINE BLOOD PRESSURES,
WHICH ARE NOT THE SAME.
SO IF A MACHINE DETECTS THIS,
WE WANT THE CLINICIANS TO DO
THIS AS WELL.
AND THEN YOU WANT TO CONTINUE
TO DO THAT ON REPEATED VISITS.
>> IF YOUR PEDIATRICIAN IS NOT
DOING THIS, DO YOU RECOMMEND
ASKING FOR IT?
>> WENT TO DO THIS.
THE ACADEMY RECOMMENDATIONS ARE
TO DO IT EVERY PREVENTATIVE
VISIT AFTER THE AGE OF THREE.
AND EVERY VISIT IF THERE ARE
CHRONIC PROBLEMS.
CHRONIC PROBLEMS. >> THANK YOU.
WE WILL BE RIGHT BACK WITH A
LOOK AT THE TRAFFIC AND WEATHER
AFTER THIS BREAK.