Therapeutic Options for the Treatment of Hypertension in Children and Adolescents

Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine

Review

Beth A. Fox¹  Mary M. Stephens²  Lisa Maxwell² 

[1] Department of Family Medicine east Tennessee State University.;Department of Family and Community Medicine Christiana Care Health System.;

关键词: adolescents;    children;    management of high blood pressure;    treatment;    hypertension;   

DOI  :  10.4137/CCRPM.S7602

来源: Sage Journals

【 摘 要 】

Primary hypertension in children is increasing in prevalence with many cases likely going undiagnosed. The prevalence is currently estimated at between 3%-5% in the United States and may be higher in certain ethnic groups. Primary hypertension, once felt to be rare in children, is now considered to be about five times more common than secondary hypertension. This review provides information to guide physicians through an organized approach to: 1) screening children and adolescents for hypertension during routine visits; 2) using normative percentile data for diagnosis and classification; 3) performing a clinical evaluation to identify the presence of co-morbidities; 4) initiating a plan of care including subsequent follow-up blood pressure measurements, therapeutic lifestyle changes and pharmacologic therapies.

【 授权许可】

CC BY-NC   
© 2012 SAGE Publications.

【 图 表 】

Figure 1.

Figure 1.