Table 5.

Recommendation when and how to assess the presence of hypertension-mediated organ damage.

	Grade
Left ventricular hypertrophy (LVH) should be assessed by echocardiography (ECHO).	B
Electrocardiography is not recommended as a tool for assessment of LVH.	C
Measurement of carotid intima-media thickness (cIMT) and carotid-femoral pulse velocity (PWV) are not obligatory as a first diagnostic step approach to the hypertensive child.	B
cIMT or PWV should be interpreted in relation to appropriate referential values (6–8).	C
Ophthalmoscopy for hypertensive retinopathy is not obligatory at a first diagnostic step. However, in case of severe hypertension/ hypertensive urgency/emergency it may be a useful tool in further therapeutic decisions.	C
Albumin/creatinine ratio in urine should be checked as well as proteinuria and glomerular filtration rate to diagnose kidney damage.	D