RCPCH Grand Round: Blood pressure in children – how high is too high and what to do | with Professor Manish Sinha

In this episode, Professor Manish Sinha explores the growing challenge of hypertension in children, unpacking how to recognise when blood pressure is truly “too high” and what clinicians should do about it. He highlights why early detection matters, how definitions and thresholds differ, and offers practical guidance on measurement, evaluation, and management—helping paediatricians navigate a complex but increasingly common condition.

Speakers

Professor Manish Sinha

Date of Recording

May 1, 2026

Available Until

April 30, 2027

The content of this webinar represents the expertise and views of the speaker and does not represent formal College position or policy, and is intended to provide an opportunity for informed discussion and shared learning on topics that continue to generate interest and debate.

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Speakers

Professor Manish Sinha

Consultant Paediatric Nephrologist

Professor Manish Sinha is a Consultant Paediatric Nephrologist at the Evelina London Children’s Hospital, Guy’s & St Thomas’s Foundation Hospitals NHS Trust. Manish’s research interests include hypertension, cardiovascular disease development in childhood and its progression into young adulthood both in those with and without kidney diseases. In 2016 he obtained a PhD titled ‘Relation of pre-clinical arterial disease to blood pressure in children with chronic kidney disease’ from Kings College London. Manish was the chief investigator for the UK-wide multicentre HOT-KID clinical trial that recently reported how lowering blood pressure in children with chronic kidney disease could prevent adverse cardiac remodelling. His current work focuses on understanding the haemodynamics of hypertension and evaluating its impact on the heart and large arteries. Ongoing research studies use cardiac MRI, advanced echocardiography techniques and non-invasive tools to study arterial stiffening and ventricular-vascular coupling and to identify pre-clinical cardiac and vascular changes in children and young people with hypertension, chronic kidney disease, dialysis and polycystic kidney disease.