Normal values_BP_2017_AAP

 Reference: https://doi.org/10.1542/peds.2017-1904

Girls

Boys:

https://link.springer.com/article/10.1007/s11906-017-0780-8/tables/3 

Athletic Participation for Children with Systemic Hypertension - 2010 AAP Policy Statement

Basis of classification:

These are based on peak static and dynamic components achieved during competition. Higher values may be reached during training.

Dynamic component - estimated % of Max O2 and cardiac output.

Static component - estimated Maximal voluntary contraction (MVC) reached/results in high BP.

*Danger of bodily collision

† Increased risk if syncope occurs

Participation not recommended by AAP

+ AAP classifies cricket in I-B

 

Houston Hypertension Charts
(Based on height)
(Click on the image to enlarge)

Prevalence of late hypertension after coarctation repair - Age at operation

n=176 consecutive patients
Median f-up = 7.5 yrs.
Mortality - 0% for isolated coarctation (n=116), 7.4% for coarctation associated with other anomalies.
Seirafi et al.Ann Thoracic Surg 1998;66:1378-82.

Age at repair was not significant risk factor in another study: Hager et al. JTCVS 2007;134:738-45. n=405, Surgical era 1974-2000.

Nutrition: Salty Six

According to American Heart Association:
The "Salty Six"
1) Breads & Rolls (230 mg per piece)
2) Cold cuts and cured meat (1 g per pre-packaged turkey)
3) Pizza (760 mg per slice)
4) Chicken (amount depends on type of processing)
5) Soup (940 mg per cup)
6) Sandwiches (Ketchup, mustard,..) (1.5 g per sandwich)

Problem with this list is that it is not memorable! And, the items in the list are not mutually exclusive. For example, a sandwich contains breads/rolls, cold cut/cured meat or chicken. Thus, 1, 2 and 4 are actually the 6!

General Cardiology: Hypertension following coarctation repair

Incidence of hypertension after coarctation repair increases proportionately with increasing age at repair.

(Seraifi P. et al. Ann Thorac Surg 1998;66:1378-82)

ICU: Hypertension Management (Labetalol)

Beyond Nitroprusside and Esmolol infusions...Hydrallazine and Labetalol may be used as either bolus doses or infusions.

Article 2010 PCCM Publish ahead of print describes safety of Labetalol infusion in children



Lexi-Comp:
IV intermittent dose: 0.2 - 0.5 mg/kg/dose (Range 0.2 - 1 mg/kg/dose)
IV continuous infusion: 0.2 - 1.5 mg/kg/hr (Mean 0.8 mg/kg/hr; Max 3 mg/kg/hr)
Oral: 4 mg/kg/day in 2 divided doses (max. 20-40 mg/kg/day)

Duration of action: Oral - 8-24 hrs (dose dependent) IV - 2-4 hrs
Half-life: 5-8 hrs