The joint statement is a synergistic action between HyperChildNET and the European Academy of Pediatrics about the diagnosis and management of hypertension in youth, based on the European Society of Hypertension Guidelines published in 2016 with the aim to improve its implementation. The first and most important requirement for the diagnosis and management of hypertension is an accurate measurement of office blood pressure that is currently recommended for screening, diagnosis, and management of high blood pressure in children and adolescents. Blood pressure levels should be screened in all children starting from the age of 3 years. In those children with risk factors for high blood pressure, it should be measured at each medical visit and may start before the age of 3 years. Twenty-four-hour ambulatory blood pressure monitoring is increasingly recognized as an important source of information as it can detect alterations in circadian and short-term blood pressure variations and identify specific phenotypes such as nocturnal hypertension or non-dipping pattern, morning blood pressure surge, white coat and masked hypertension with prognostic significance. At present, home BP measurements are generally regarded as useful and complementary to office and 24-h ambulatory blood pressure for the evaluation of the effectiveness and safety of antihypertensive treatment and furthermore remains more accessible in primary care than 24-h ambulatory blood pressure. A grading system of the clinical evidence is included.

1st Department of Pediatrics Aristotle University of Thessaloniki Hippokratio General Hospital of Thessaloniki Thessaloniki Greece

Analog Devices Inc Paterna Spain

CIBER Fisiopatología de la Obesidad y Nutrición Instituto de Salud Carlos 3 Madrid Spain

Department of Clinical Sciences University of Barcelona Barcelona Spain

Department of Medical Clinical Pharmacology University of Debrecen Debrecen Hungary

Department of Medicine University of Debrecen Debrecen Hungary

Department of Nephrology Kidney Transplantation and Hypertension The Children's Memorial Health Institute Warsaw Poland

Department of Paediatric Nephrology Evelina London Children's Hospital Guy's and St Thomas' NHS Foundation Trust London United Kingdom

Department of Paediatrics Larnaca General Hospital Larnaca Cyprus

Department of Pediatric Consorcio Hospital General University of Valencia Valencia Spain

Department of Pediatric Nephrology and Hypertension Pediatric Institute Jagiellonian University Medical College Kraków Poland

Department of Pediatrics 2 University Hospital Essen Essen Germany

Department of Pediatrics University Hospital Ostrava Ostrava Czechia

Division of Pediatric Nephrology Center for Pediatrics and Adolescent Medicine Heidelberg University Hospital Heidelberg Germany

Division of Pediatric Nephrology University Children's Hospital Charles University Prague Czechia

Institute of Medical Sciences Medical College Rzeszów University Rzeszow Poland

Institute of Pediatrics of Southern Switzerland Ente Ospedaliero Cantonale Bellinzona Switzerland

Istanbul University Cerrahpaşa Cerrahpaşa Faculty of Medicine Istanbul Turkey

Pediatric Center Institute of Clinical Medicine Vilnius University Vilnius Lithuania

School of Medicine European University Cyprus Nicosia Cyprus

University Hospital of Bellvitge IDIBELL Barcelona Spain

University of Milano Bicocca Milan Italy

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