When should one measure a blood pressure in children?

Blood pressure (BP) should be measured annually in children and adolescents 3 years onwards. 

BP should be checked in all children and adolescents 3 years onwards at every health encounter if they have obesity, are taking medications known to increase BP, have renal disease, history of aortic arch obstruction or diabetes.

In less than 3 yrs age, a BP measurement should be attempted in following scenarios …

  • History of prematurity, very low birth weight, or other neonatal complication
  • Congenital heart disease 
  • Recurrent urinary tract infections, hematuria, or proteinuria, Known renal disease or urologic malformations
  • Family history of congenital renal disease
  • Solid-organ transplant, malignancy or bone marrow transplant
  • Treatment with drugs known to raise BP
  • Systemic illnesses associated with hypertension (neurofibromatosis, tuberous sclerosis, etc)

Next post…Techniques of BP measurement

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