Definition and management of arterial hypertension in children and adolescents are uncertain, due to different positions of current guidelines. The European Society of Cardiology task-force, constituted by Associations and Councils with interest in arterial hypertension, has reviewed current literature and evidence, to produce a Consensus Document focused on aspects of hypertension in the age range of 6–16 years, including definition, methods of measurement of blood pressure, clinical evaluation, assessment of hypertension-mediated target organ damage, evaluation of possible vascular, renal and hormonal causes, assessment and management of concomitant risk factors with specific attention for obesity, and anti-hypertensive strategies, especially focused on life-style modifications. The Consensus Panel also suggests aspects that should be studied with high priority, including generation of multi-ethnic sex, age and height specific European normative tables, implementation of randomized clinical trials on different diagnostic and therapeutic aspects, and long-term cohort studies to link with adult cardiovascular risk. Finally, suggestions for the successful implementation of the contents of the present Consensus document are also given.

中文翻译：

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儿童和青少年高血压

由于现行指南的立场不同，儿童和青少年动脉高血压的定义和治疗尚不确定。欧洲心脏病学会工作组由对动脉高血压感兴趣的协会和理事会组成，审查了当前的文献和证据，以制定一份共识文件，重点关注 6-16 岁年龄段高血压的各个方面，包括定义、血压测量方法、临床评估、高血压介导的靶器官损伤评估、可能的血管、肾脏和激素原因评估、伴随危险因素的评估和管理（特别关注肥胖）以及抗高血压策略（特别关注）关于生活方式的改变。共识小组还建议应高度优先研究的方面，包括生成多种族性别、年龄和身高特定的欧洲规范表，实施不同诊断和治疗方面的随机临床试验，以及将其联系起来的长期队列研究与成人心血管风险。最后，还提出了如何成功落实本共识文件内容的建议。