Masked hypertension in children and adolescents

2008 ◽  
Vol 10 (3) ◽  
pp. 165-166 ◽  
Author(s):  
Empar Lurbe
2004 ◽  
Vol 22 (Suppl. 2) ◽  
pp. S138
Author(s):  
E. Lurbe ◽  
M. I. Torro ◽  
V. Alvarez ◽  
F. Aguilar ◽  
J. Redon ◽  
...  

1999 ◽  
Vol 56 (1) ◽  
pp. 12-18 ◽  
Author(s):  
von Vigier ◽  
Bianchetti

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.


2019 ◽  
Author(s):  
Homeira Rashidi ◽  
Azam Erfanifar ◽  
Seyed Mahmoud Latifi ◽  
Seyed Peyman Payami ◽  
Armaghan Moravej Aleali

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 697
Author(s):  
Simonetta Genovesi ◽  
Marco Giussani ◽  
Antonina Orlando ◽  
Francesca Orgiu ◽  
Gianfranco Parati

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.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Chompoonut Limratchapong ◽  
Pracha Nuntnarumit ◽  
Wischuri Paksi ◽  
Kwanchai Pirojsakul

Abstract Objectives Previous studies from the developed countries showed that children born very low birth weight have a higher risk of hypertension compared with that of the normal birth weight controls. However, studies regarding the prevalence of hypertension in such children from the developing countries are scarce. This study aimed to identify the perinatal and postnatal factors associated with hypertension in children born very low birth weight. Results Forty-six children aged ≥ 6 years from the VLBW cohort of Ramathibodi Hospital, Bangkok, Thailand underwent the ambulatory blood pressure monitoring. The prevalence of hypertension was 15.2% (7/46). The hypertension group had a significant higher BMI z-score at 3 years of age (0.90 ± 1.44 vs − 0.45 ± 1.47, p = 0.045) and a greater proportion of current obesity (42% vs 2.5%, p < 0.01) compared to those in the normotensive group. Multivariate analysis revealed that current obesity was associated with hypertension (OR 34.77, 95%CI 1.814–666.5). Among 36 children with normal office blood pressure, four children (11.1%) had high blood pressure uncovered by ABPM, called “masked hypertension”. Office systolic blood pressure at the 85th percentile was the greatest predictor for masked hypertension with a sensitivity of 75% and a specificity of 81.2%.


1978 ◽  
Vol 12 ◽  
pp. 542-542 ◽  
Author(s):  
Julie R Ingelfinger ◽  
Warren E Grupe

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