Sequelae of Hypertension in Children and Adolescents

2013 ◽  
pp. 453-464
Author(s):  
Donald J. Weaver ◽  
Mark M. Mitsnefes
Keyword(s):  
Children And Adolescents ◽  
Hypertension In Children

Hypertension in children and adolescents

1999 ◽  
Vol 56 (1) ◽  
pp. 12-18 ◽  
Author(s):  
von Vigier ◽  
Bianchetti
Keyword(s):  
Children And Adolescents ◽  
Beta Blocker ◽  
Arterielle Hypertonie ◽  
Hypertension In Children

Im Alltag stellen Kinder mit arterieller Hypertonie eine Seltenheit dar. Trotzdem muß jeder Arzt gewisse Besonderheiten bezüglich der Definition des normalen Blutdruckes, der Meßtechnik und der Abklärungen beim Vorliegen erhöhter Werte bei Kindern und Jugendlichen kennen. Normwerttabellen für den Blutdruck bei Kindern und Adoleszenten wurden mittels verschiedener Studien erstellt. Allgemein gilt dabei als normaler Blutdruck ein Wert unterhalb der entsprechenden 90. Perzentile. Hoch-normal werden Werte ≥ 90. Perzentile und < 95. Perzentile bezeichnet. Eine arterielle Hypertonie ist definiert als ein Meßwert ≥ 95. Perzentile. Die Blutdruckmessung ist vor allem beim Kleinkind technisch schwierig und aufwendig und eine unsachgemäße Durchführung ergibt falsche Werte. Beim Neugeborenen und Säugling kommen praktisch nur oszillometrische Meßgeräte in Frage. Ab dem Kleinkindesalter muß unbedingt auf die Verwendung einer der Körpergröße angepaßten Blutdruckmanschette geachtet werden. Da im Voradoleszentenalter das Vorliegen einer essentiellen Hypertonie selten ist, ist die Suche nach der Ursache einer sekundären Form immer indiziert. Die Grundregeln der Pharmakotherapie der arteriellen Hypertonie sind im Kindes- und Erwachsenenalter identisch, wobei primär die sogenannten ACE-Hemmer, die Diuretika, die beta-Blocker oder die Calcium-Antagonisten eingesetzt werden sollen.

Incidence of obesity, overweight and hypertension in children and adolescents in Ahvaz southwest of Iran

2019 ◽  
Author(s):  
Homeira Rashidi ◽  
Azam Erfanifar ◽  
Seyed Mahmoud Latifi ◽  
Seyed Peyman Payami ◽  
Armaghan Moravej Aleali
Keyword(s):  
Children And Adolescents ◽  
Southwest Of Iran ◽  
Hypertension In Children

scholarly journals Salt and Sugar: Two Enemies of Healthy Blood Pressure in Children

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 697
Author(s):  
Simonetta Genovesi ◽  
Marco Giussani ◽  
Antonina Orlando ◽  
Francesca Orgiu ◽  
Gianfranco Parati
Keyword(s):  
Arterial Hypertension ◽  
Dietary Intake ◽  
Children And Adolescents ◽  
Eating Habits ◽  
Clinical Problem ◽  
Sweet Taste ◽  
Pediatric Age ◽  
Wide Availability ◽  
Essential Arterial Hypertension ◽  
Hypertension In Children

The prevalence of essential arterial hypertension in children and adolescents has grown considerably in the last few decades, making this disease a major clinical problem in the pediatric age. The pathogenesis of arterial hypertension is multifactorial, with one of the components being represented by incorrect eating habits. In particular, excessive salt and sugar intake can contribute to the onset of hypertension in children, particularly in subjects with excess weight. Babies have an innate predisposition for sweet taste, while that for salty taste manifests after a few weeks. The recent modification of dietary styles and the current very wide availability of salt and sugar has led to an exponential increase in the consumption of these two nutrients. The dietary intake of salt and sugar in children is in fact much higher than that recommended by health agencies. The purpose of this review is to explore the mechanisms via which an excessive dietary intake of salt and sugar can contribute to the onset of arterial hypertension in children and to show the most important clinical studies that demonstrate the association between these two nutrients and arterial hypertension in pediatric age. Correct eating habits are essential for the prevention and nondrug treatment of essential hypertension in children and adolescents.

scholarly journals 1073 CLONIDINE FOR HYPERTENSION IN CHILDREN AND ADOLESCENTS

1978 ◽  
Vol 12 ◽  
pp. 542-542 ◽  
Author(s):  
Julie R Ingelfinger ◽  
Warren E Grupe
Keyword(s):  
Children And Adolescents ◽  
Hypertension In Children

scholarly journals Hypertension in Children and Adolescents: A Position Statement From a Panel of Multidisciplinary Experts Coordinated by the French Society of Hypertension

2021 ◽  
Vol 9 ◽  
Author(s):  
Béatrice Bouhanick ◽  
Philippe Sosner ◽  
Karine Brochard ◽  
Claire Mounier-Véhier ◽  
Geneviève Plu-Bureau ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Care Pathway ◽  
Paediatric Population ◽  
Position Statement ◽  
French Society ◽  
Cardiovascular Morbidity And Mortality ◽  
And Gender ◽  
Definition Of ◽  
Hypertension In Children

Hypertension is much less common in children than in adults. The group of experts decided to perform a review of the literature to draw up a position statement that could be used in everyday practice. The group rated recommendations using the GRADE approach. All children over the age of 3 years should have their blood pressure measured annually. Due to the lack of data on cardiovascular morbidity and mortality associated with blood pressure values, the definition of hypertension in children is a statistical value based on the normal distribution of blood pressure in the paediatric population, and children and adolescents are considered as having hypertension when their blood pressure is greater than or equal to the 95th percentile. Nevertheless, it is recommended to use normative blood pressure tables developed according to age, height and gender, to define hypertension. Measuring blood pressure in children can be technically challenging and several measurement methods are listed here. Regardless of the age of the child, it is recommended to carefully check for a secondary cause of hypertension as in 2/3 of cases it has a renal or cardiac origin. The care pathway and principles of the therapeutic strategy are described here.

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