Cardiovascular Risk Reduction in High-Risk Pediatric Patients: A Scientific Statement From the American Heart Association

Circulation
Sarah D de FerrantiAli N Zaidi

Abstract

This scientific statement presents considerations for clinical management regarding the assessment and risk reduction of select pediatric populations at high risk for premature cardiovascular disease, including acquired arteriosclerosis or atherosclerosis. For each topic, the evidence for accelerated acquired coronary artery disease and stroke in childhood and adolescence and the evidence for benefit of interventions in youth will be reviewed. Children and adolescents may be at higher risk for cardiovascular disease because of significant atherosclerotic or arteriosclerotic risk factors, high-risk conditions that promote atherosclerosis, or coronary artery or other cardiac or vascular abnormalities that make the individual more vulnerable to the adverse effects of traditional cardiovascular risk factors. Existing scientific statements and guidelines will be referenced when applicable, and suggestions for risk identification and reduction specific to each setting will be described. This statement is directed toward pediatric cardiologists, primary care providers, and subspecialists who provide clinical care for these young patients. The focus will be on management and justification for management, minimizing information on patho...Continue Reading

References

Aug 7, 1986·The New England Journal of Medicine·J W NewburgerS P Sanders
Jul 1, 1988·Arthritis and Rheumatism·N T IlowiteM S Jacobson
May 1, 1986·American Heart Journal·W C Roberts
Nov 1, 1987·The American Journal of Cardiology·P T McEnieryW C Sheldon
Sep 1, 1995·Medical and Pediatric Oncology·R K MulhernE I Thompson
Nov 1, 1996·International Journal of Radiation Oncology, Biology, Physics·V KingP Rubin
Sep 17, 1998·The New England Journal of Medicine·R G Luke
Apr 26, 2000·Pediatric Hematology and Oncology·M P ShawW H Wallace
Jul 29, 2000·Leukemia·W LeungC H Pui
Aug 10, 2000·Pediatric Transplantation·C ChinD Bernstein
Jan 11, 2000·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·J J ReillyB E Gibson
Apr 13, 2001·Journal of the American College of Cardiology·C A WarnesG D Webb
Jul 4, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A C MertensL L Robison
Jul 4, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·T R MöllerUNKNOWN Nordic Society for Pediatric Hematology and Oncology
Feb 12, 2002·Medical and Pediatric Oncology·Justin T WarnerJohn W Gregory
Mar 7, 2002·Journal of Pediatric Hematology/oncology·K C OeffingerB M Foster
Jun 27, 2002·Journal of the American College of Cardiology·Julien I E Hoffman, Samuel Kaplan
Jul 30, 2002·The American Journal of Clinical Nutrition·Agot L AmundsenFady Y Ntanios
Mar 29, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kevin C OeffingerUNKNOWN Childhood Cancer Survivor Study
May 13, 2003·The Proceedings of the Nutrition Society·Sandra Macfarlane, George T Macfarlane
Aug 29, 2003·The New England Journal of Medicine·Howard J EisenUNKNOWN RAD B253 Study Group
Nov 6, 2003·JAMA : the Journal of the American Medical Association·Olli T RaitakariJorma S A Viikari
Mar 17, 2004·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Ingrid M SeipeltElfriede Pahl
Jun 3, 2004·Circulation·James T Willerson, Paul M Ridker
Aug 31, 2004·Psycho-oncology·Rita M ButterfieldKaren Emmons
Nov 6, 2004·Journal of Pediatric Endocrinology & Metabolism : JPEM·Jolanta Szczepańiska KostroBarbara Głowińska
Nov 6, 2004·Current Rheumatology Reports·Laura E Schanberg, Christy Sandborg
Jan 18, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·William T MahleKirk R Kanter

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Citations

Jun 19, 2019·The Nurse Practitioner·Abigail Felix, Rita Marie John
Jul 11, 2019·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Andrea Semplicini
Sep 8, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Karolis AzukaitisRukshana Shroff
Feb 2, 2020·Lipids in Health and Disease·Fatemeh Azizi-SoleimanRoya Kelishadi
Jan 4, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Margret E BockJens Goebel
Jan 25, 2020·Nature Reviews. Cardiology·Gerald F WattsKausik K Ray
May 6, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Bradley A WaradyJustine Bacchetta
Jul 4, 2020·Current Opinion in Endocrinology, Diabetes, and Obesity·Shoshana TellRobert H Eckel
Mar 11, 2020·Cardio-Oncology·Neha BansalSteven E Lipshultz
Jul 2, 2020·Surgical Endoscopy·Roman VangoitsenhovenAli Aminian
Aug 21, 2020·Current Atherosclerosis Reports·Sujana BallaFatima Rodriguez
Mar 18, 2020·Lipids in Health and Disease·Michał BrzezińskiAgnieszka Szlagatys-Sidorkiewicz
Oct 6, 2020·Expert Opinion on Pharmacotherapy·Filipe FerrariRaul D Santos
Oct 14, 2020·Pediatric Research·Arend W van Deutekom, Adam J Lewandowski
Nov 11, 2020·Pediatric Dermatology·Andrea L ZaengleinUNKNOWN PeDRA Use of Retinoids in Ichthyosis Work Group
Nov 11, 2020·Metabolic Syndrome and Related Disorders·Young Sammy ChoiJohn Stanislaus Klaric
Dec 30, 2020·Journal of the American Heart Association·Erica G SolteroAaron S Kelly
Aug 22, 2020·The Journal of Pediatrics·Brenda KohnDon P Wilson
Nov 25, 2020·American Heart Journal·Justin H BergerJulie A Brothers
Feb 14, 2021·The Canadian Journal of Cardiology·Bonita Falkner, Samuel Gidding
Dec 15, 2020·Heart, Lung & Circulation·Gerald F WattsUNKNOWN FH Australasia Network Consensus Working Group
Jan 5, 2021·Current Opinion in Endocrinology, Diabetes, and Obesity·Elizabeth YeungSonali S Patel
Jan 23, 2021·Current Opinion in Endocrinology, Diabetes, and Obesity·Zareen Farukhi, Samia Mora
Feb 4, 2021·Current Opinion in Endocrinology, Diabetes, and Obesity·Don P WilsonPatrick M Moriarty
Mar 3, 2021·Metabolic Syndrome and Related Disorders·Nicole KahhanP Babu Balagopal
Feb 26, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Francesca De ZanRukshana Shroff
Jun 26, 2020·The Canadian Journal of Cardiology·Richard J ChungSarah D de Ferranti
Apr 5, 2021·The Journal of Pediatrics·Jareatha N Abdul-RaheemTammy M Brady
Apr 23, 2021·Journal of Immigrant and Minority Health·Veronica BarcelonaJacquelyn Y Taylor
May 29, 2021·Internal Medicine Journal·Gerald F WattsUNKNOWN and members of the FH Australasia Network Consensus Working Group
May 27, 2021·Pediatric Annals·Scott Leopold, Justin P Zachariah
Jun 24, 2021·Acta Paediatrica·Camille Girard-BockThuy Mai Luu
Jul 31, 2021·American Journal of Preventive Cardiology·Gerald F WattsUNKNOWN FH Australasia Network Consensus Working Group
Jul 20, 2021·Heart, Lung & Circulation·Rachel E ClimieRosa-Maria Bruno
Jul 25, 2021·Journal of Clinical Medicine·Amy L PetersonDean G Karalis
Aug 7, 2021·Biomedicines·Stephen T O'BrienTimothy O'Brien
Aug 28, 2021·International Journal of Environmental Research and Public Health·Tiago Rodrigues de LimaDiego Augusto Santos Silva

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