The document summarizes the key changes in the 2017 American Academy of Pediatrics Clinical Practice Guideline for screening and managing high blood pressure in children and adolescents. Some significant changes include replacing the term "prehypertension" with "elevated blood pressure", introducing new normative blood pressure tables, simplifying blood pressure classification for adolescents, and expanding the role of ambulatory blood pressure monitoring and limiting recommendations for routine screening. The new guidelines also revise recommendations for echocardiography and indications for antihypertensive medications. The 2017 guidelines aim to develop an evidence-based approach aligned with new adult hypertension guidelines.