Criteri diagnostici e terapeutici dell'ipertensione arteriosa in età pediatrica.

Translated title of the contribution: Diagnostic and therapeutic criteria of arterial hypertension in childhood

G. Ardissino, A. Edefonti, M. G. Bianchetti, C. Corti, E. Fossali, M. Gioventù, S. Ghiglia, S. Testa, P. Salice

Research output: Contribution to journalArticle

Abstract

Arterial hypertension (AH), either primary or secondary, is an important issue in childhood for its short- and long-term cardiovascular morbidity. Renal diseases are the most frequent causes of AH in children, but essential hypertension can also be detected early in life. It is important for blood pressure (BP) to be checked regularly (at least once every 5 years) in healthy children and adolescents and every year in those belonging to at-risk categories (family history of AH, low birth weight, obesity, etc). In children, AH is defined as BP recorded in three non-consecutive measurements with an appropriate device and cuff size > or = 95th centile for age, gender and height. Ambulatory BP monitoring is a valuable diagnostic tool and once AH is confirmed, a specific primary cause should always be ruled out (renovascular, cardiac, vascular, endocrine, pharmacologic, other). In case of border-line or significant AH (between 90th and 99th centile) a non-pharmacological treatment should be considered, whereas severe hypertension (>99th centile for height and age) will require pharmacological treatment (Diuretics, Angiotensin Converting Enzyme Inhibitors, Angiotensin Receptor Blockers, beta - and Calcium blockers).

Translated title of the contributionDiagnostic and therapeutic criteria of arterial hypertension in childhood
Original languageItalian
Pages (from-to)149-162
Number of pages14
JournalGiornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Volume23
Issue number2
Publication statusPublished - Mar 2006

ASJC Scopus subject areas

  • Nephrology

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