RT Book, Section
A1 Chaudhuri, Abanti
A1 Sutherland, Scott M.
A2 Stevenson, David K.
A2 Cohen, Ronald S.
A2 Sunshine, Philip
SR Print(0)
ID 1109799111
T1 Neonatal Hypertension
T2 Neonatology: Clinical Practice and Procedures
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071763769
LK accesspediatrics.mhmedical.com/content.aspx?aid=1109799111
RD 2024/04/23
AB Over  the  past  several  decades,  we  have  learned  much  about  neonatal  hypertension,  resulting  in  an  increased  awareness  in  the  modern  neonatal  intensive  care  unit  (NICU).  In  healthy  term  infants,  hypertension  is  exceedingly  uncommon,1  with  an  incidence  of  approximately  0.2%.  In  critically  ill  infants  admitted  to  the  NICU,  however,  the  incidence  is  higher,  with  reported  rates2,  3,  and  4  ranging  from  0.7%  to  3.0%.  The  diagnosis  of  hypertension  in  neonates  and  infants  can  be  challenging  because  their  normal  blood  pressure  (BP)  range  is  dynamic,  varying  along  with  a  number  of  factors,  including  gestational  age,  postnatal  age,  and  weight.  Despite  this,  a  careful  diagnostic  evaluation  should  allow  determination  of  the  underlying  cause  of  hypertension  in  most  hypertensive  neonates.  There  are  numerous  treatment  options,  and  treatment  decisions  should  be  tailored  individually  based  on  the  severity  of  the  hypertension  and  concomitant  disease  states.  Fortunately,  in  most  infants,  hypertension  resolves  over  time,  although  a  small  number  may  have  persistently  elevated  BPs  throughout  childhood.