RT Book, Section
A1 Samuels, Joshua
A1 Flynn, Joseph T.
A2 Kline, Mark W.
SR Print(0)
ID 1182913314
T1 Systemic Hypertension
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182913314
RD 2024/04/20
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.