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Blood pressure determination in urban high school students
146 A-227 BLOOD
ABSTRACTS:
PRESSURE
HIGH
DETERMINATION
BLOOD
IN
PRESSURE
URBAN
Lynn Walker, Howard and Georgetown General Hospital, Washington, D.C.; Davidov; William J. Mroczek
HIGH
University Margene
CONTROL
SCHOOL
STUDENTS
Medical Kennedy;
Divisions, Michael
D.C. E.
A hypertension screening and cardiovascular risk factor educational program was presented to all public high school students in the District of Columbia. Because of a paucity of data on normal levels of adolescent blood pressure, the present study evaluated the level of blood pressure for each age/sex group in relation to height, weight, and ponderal index. Of a total enrollment of 19,726 students, 11,911 had their blood pressure determined. In the 14-19 year old age group the mean (+SD) systolic blood pressure was 119.0 t12.6 in males and 112.1 211.3 mmHg in females. The diastolic blood pressure was 71.3 t11.4 in males and 69.3 f10.6 mmHg in females. Using adult standards (>140/90 mmHg) 104 students (3.2%) had elevations of systolic blood pressure, 110 (3.3%) had elevations of diastolic blood pressure, and 181 (5.4%) had an elevation of either or both systolic blood pressure and diastolic blood pressure. Obese adolescents (ponderal index 412.40) had a mean systolic pressure 2.8 mmHg higher and a diastolic pressure 2.3 mmHg higher than non-obese adolescents. It was concluded that significant proportion Columbia high schools high blood pressures
elevated blood pressures could of adolescents (5.7%) attending and that obesity was positively in both male and female adolescents.
be
found District associated
in
a of with
11-22s MULTIDISCIPLINARY
PEDIATRIC
HYPERTENSION
Philip D. Walson, Audrey M. Rath, Pediatrics, University of Arizona,
CLINIC
Elmer S. Tucson,
Lightner, Arizona
Hugh
D. Allen,
Department
of
A multidisciplinary Pediatric Hypertension Clinic has been developed at the University of Arizona. A pediatric hypertension nurse coordinates the clinic with the clinic director and six pediatric subspecialists, a dietitian, and a clinical pharmacist. The clinic is a referral resource, a diagnostic and treatment center, and a training & evaluation center for pediatric hypertension patients and health care providers. Standard physical and laboratory evaluations plus specific family, dietary and past history questionaires, funduscopic photographs, anthropometric measurements, echocardiograms and urinary electrolyte determinations are done. Secondary causes of hypertension were found in 38% including pheochromocytoma, polycystic kidneys, renal infarction, polyarteritis nodosa, leukemia and undiagnosed coarctation of the aorta. However, many patients have been classified either as normotensive with artifactual hypertension due to improper technique (20%) or essential hypertensives (42%). In many patients with secondary hypertension, a careful history and physical examination were sufficient to suggest the diagnosis. Evaluation techniques have been developed for physical examinations, equipment factual knowledge of incidence, etiology and treatment of pediatric hypertension. On site and outreach training and evaluation programs are held for physicians allied health professions. Referral patterns and evaluations indicate a need physician and allied health professional training in the proper diagnosis, evaluation and treatment of pediatric hypertension.
and and for
ABSTRACTS:
PRESSURE
HIGH
DETERMINATION
BLOOD
IN
PRESSURE
URBAN
Lynn Walker, Howard and Georgetown General Hospital, Washington, D.C.; Davidov; William J. Mroczek
HIGH
University Margene
CONTROL
SCHOOL
STUDENTS
Medical Kennedy;
Divisions, Michael
D.C. E.
A hypertension screening and cardiovascular risk factor educational program was presented to all public high school students in the District of Columbia. Because of a paucity of data on normal levels of adolescent blood pressure, the present study evaluated the level of blood pressure for each age/sex group in relation to height, weight, and ponderal index. Of a total enrollment of 19,726 students, 11,911 had their blood pressure determined. In the 14-19 year old age group the mean (+SD) systolic blood pressure was 119.0 t12.6 in males and 112.1 211.3 mmHg in females. The diastolic blood pressure was 71.3 t11.4 in males and 69.3 f10.6 mmHg in females. Using adult standards (>140/90 mmHg) 104 students (3.2%) had elevations of systolic blood pressure, 110 (3.3%) had elevations of diastolic blood pressure, and 181 (5.4%) had an elevation of either or both systolic blood pressure and diastolic blood pressure. Obese adolescents (ponderal index 412.40) had a mean systolic pressure 2.8 mmHg higher and a diastolic pressure 2.3 mmHg higher than non-obese adolescents. It was concluded that significant proportion Columbia high schools high blood pressures
elevated blood pressures could of adolescents (5.7%) attending and that obesity was positively in both male and female adolescents.
be
found District associated
in
a of with
11-22s MULTIDISCIPLINARY
PEDIATRIC
HYPERTENSION
Philip D. Walson, Audrey M. Rath, Pediatrics, University of Arizona,
CLINIC
Elmer S. Tucson,
Lightner, Arizona
Hugh
D. Allen,
Department
of
A multidisciplinary Pediatric Hypertension Clinic has been developed at the University of Arizona. A pediatric hypertension nurse coordinates the clinic with the clinic director and six pediatric subspecialists, a dietitian, and a clinical pharmacist. The clinic is a referral resource, a diagnostic and treatment center, and a training & evaluation center for pediatric hypertension patients and health care providers. Standard physical and laboratory evaluations plus specific family, dietary and past history questionaires, funduscopic photographs, anthropometric measurements, echocardiograms and urinary electrolyte determinations are done. Secondary causes of hypertension were found in 38% including pheochromocytoma, polycystic kidneys, renal infarction, polyarteritis nodosa, leukemia and undiagnosed coarctation of the aorta. However, many patients have been classified either as normotensive with artifactual hypertension due to improper technique (20%) or essential hypertensives (42%). In many patients with secondary hypertension, a careful history and physical examination were sufficient to suggest the diagnosis. Evaluation techniques have been developed for physical examinations, equipment factual knowledge of incidence, etiology and treatment of pediatric hypertension. On site and outreach training and evaluation programs are held for physicians allied health professions. Referral patterns and evaluations indicate a need physician and allied health professional training in the proper diagnosis, evaluation and treatment of pediatric hypertension.
and and for