Risk factors for hypertension in children <3 years

Check BP at health supervision visits for children with the following:*

Perinatal risk factors:

Born at <32 weeks gestation
Small for gestational age
Birth weight <1500 g
Neonatal complications that required intensive care or umbilical artery catheterization

Recurrent urinary tract infection, hematuria, or proteinuria

Renal disease or urologic malformation

Family history of congenital renal disease

Solid organ or hematopoietic cell transplant

Malignancy or other systemic illness associated with hypertension (eg, neurofibromatosis, tuberous sclerosis complex, sickle cell disease)

Treatment with drugs known to raise blood pressure (eg, caffeine, nonsteroidal anti-inflammatory drugs, glucocorticoids)

Evidence of elevated intracranial pressure

BP: blood pressure.
* For children without risk factors, BP should be measured annually at health supervision visits beginning at age 3 years.

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