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Hypertension: a weighty problem in children
  1. Bernard M Y Cheung
  1. Correspondence to Professor Bernard M Y Cheung, Department of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong, China; mycheung{at}hku.hk

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Hypertension is an exceedingly common condition afflicting not only the developed countries but also the low/middle-income countries. Official estimates suggest there are now 270 million people with hypertension in China. Yet, hypertension remains a mysterious disease without a distinct genetic or biochemical cause; the blood pressure control rate remains dismal (‘Rule of Halves’); and its prevalence is soaring in countries like China. The best current practice offered is screening for hypertension in the whole population including apparently healthy asymptomatic individuals; accurate diagnosis with repeated and ambulatory blood pressure measurements; and vigorous treatment using the various antihypertensive drug classes available. There is clearly a need to do more, …

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