TY - CHAP M1 - Book, Section TI - Systemic Hypertension A1 - Samuels, Joshua A1 - Flynn, Joseph T. A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Systemic hypertension occurs in approximately 3% to 4% of the pediatric population, and there is ample evidence that the roots of adult primary hypertension extend back to childhood. In young children, hypertension is often secondary to an underlying renal or cardiac disease, but with the rise in childhood obesity, primary hypertension is now recognized as the most frequent cause of hypertension in adolescents. Perhaps more concerning, blood pressure (BP) problems among children seem to be more common in recent cohorts than among historical populations. Management of systemic hypertension in the pediatric population begins with correct BP measurement using a standardized technique, categorization of BP using current normative standards, appropriate evaluation of the etiology of the hypertension, assessment of end-organ damage, and control of BP using both nonpharmacologic and pharmacologic means as appropriate. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182913314 ER -