HYPERTENSION IN

CHILDREN
MIKHAEL RAMIN TUMANGGOR
1061050042
DEFINITION

■ Hypertension is defined as average SBP and/or DBP that is greater than or equal to the 95th
percentile for sex, age, and height on three or more occasions.
■ Prehypertension in children is defined as average SBP or DBP levels that are greater than or
equal to the 90th percentile, but less than the 95th percentile.
■ As with adults, adolescents with BP levels greater than or equal to 120/80 mmHg should be
considered prehypertensive.
■ A patient with BP levels above the 95th percentile in a physician’s office or clinic, who is
normotensive outside a clinical setting, has white-coat hypertension. Ambulatory BP monitoring
(ABPM) is usually required to make this diagnosis
HOW TO READ THE 4TH TASK FORCE TABLE

1. Adjust the gender and age

2. Decide the Child Height with CDC Curve – Height (cm) of age
3. Read SBP and DBP in the table
A 3 YEARS OLD BOY, WITH HEIGHT 125 CM IS IN 90
PERCENTILE AND HIS BP IS 120/75 MMHG
 Systolic
hypertension
grade 1 and
diastolic pre
hypertension

A 3 years old Boy, with height 125 cm with BP 120/75 mmHg

KURVA TEKANAN
DARAH UNTUK ANAK
DIBAWAH SATU
TAHUN
 Patophysiology

Adapted with permission from National High Blood Pressure Education Program Working Group on High Blood
Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood
pressure in children and adolescents. Pediatrics 2004;114(2 suppl 4th report):571