Pediatric hypertension is a concern for all of us who see patients because of the role it likely plays as a harbinger of cardiovascular disease. Identifying hypertension in children can be complex because normal values change with age and body size, with differences between boys and girls. How good a job are we doing to treat high blood pressure in our patients? Kaelber et al. ( 10.1542/peds.2016-2195) have done their best to answer that question by looking at a “big data” set of over 1.2 million pediatric patients from 196 clinics in 27 states.
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