Children and adolescents may be at higher risk for cardiovascular disease (CVD) because of significant atherosclerotic or arteriosclerotic risk factors or high-risk conditions that promote atherosclerosis, according to a new scientific statement from the American Heart Association (AHA). The updated statement presents considerations for clinical management regarding the assessment of risk reduction of select pediatric populations at high risk for premature CVD, including acquired arteriosclerosis or atherosclerosis. It is directed toward pediatric cardiologists, primary care providers, and subspecialists who provide clinical care for pediatric patients. Among the statement highlights and changes since 2006:
- Obesity and severe obesity are now considered significant risk factors for an increase risk of CVD in children and teens.
- Type 2 diabetes has been elevated to a high-risk condition because of its association with additional CV risk factors such as high blood pressure and obesity.
- The expansion of the risks of premature heart disease associated with treatments for childhood cancers.
de Ferranti SD, Steinberger J, Ameduri R, et al. Cardiovascular risk reduction in high-risk pediatric patients. A scientific statement from the American Heart Association. [Published online ahead of print February 25, 2019]. Circulation. doi:10.1161/CIR.0000000000000618.
This Week's Must Reads
Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al
Pregnancy History and Risk of Miscarriage, BMJ; ePub 2019 Mar 20; Magnus, et al
Firearms Mortality Among US Schoolchildren, Am J Med; ePub 2019 Mar 25; Rubenstein, et al
Rapid Point of Care Test for Influenza, J Am Board Fam Med; 2019 Mar; Dale, et al
Sleep Disturbance and Chronic Pain Intensity, Clin J Pain; ePub 2019 Mar 25; Burgess, et al
Must Reads in Cardiology
Consumption of SSBs & Risk of Mortality, Circulation; ePub 2019 Mar 18; Malik, et al
Dietary Cholesterol or Egg Consumption & CVD, JAMA; 2019 Mar 19; Zhong, Van Horn, et al
Physical Activity & Incidence of CHD & CVD in Women, JAMA Netw Open; ePub 2019 Mar 15; LaCroix, et al
Intensive BP Control in Adults with Hypertension Who Smoke, JAMA Netw Open; ePub 2019 Mar 8; Scarpa, et al
Leisure-Time Physical Activity Across Adulthood, JAMA Netw Open; ePub 2019 Mar 8; Saint-Maurice, et al