RT Book, Section A1 Belsha, Craig W. A1 Flynn, Joseph T. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7046317 T1 Chapter 479. Systemic Hypertension T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7046317 RD 2024/09/12 AB Although systemic hypertension occurs in less than 4% of the pediatric population, there is ample evidence that the roots of primary hypertension extend back to childhood. In young children, hypertension is often a sign of underlying renal or cardiac disease, but with the rise in childhood obesity, primary hypertension is now recognized as a frequent cause of hypertension in adolescents. Management of systemic hypertension in the pediatric population begins with correct blood pressure (BP) measurement using a standardized technique, categorization using current normative standards, evaluation of the etiology of the hypertension, and use of nonpharmacologic and pharmacologic therapies.