L'ipertensione arteriosa in età pediatrica: Dall'inquadramento diagnostico alla terapia

Translated title of the contribution: Management of hypertension in children and adolescents: From diagnosis to treatment

Angela De Cunto, Massimo Maschio, Marco Pennesi, Alessandra Benettoni

Research output: Contribution to journalArticlepeer-review

Abstract

The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence of the early development of atherosclerosis in children would make identification and treatment of hypertension an important focus of physicians caring for children. Secondary hypertension is more common in preadolescent children, with most cases caused by renal disease. Primary or essential hypertension is an emerging condition in adolescents and has multiple risk factors, including obesity and a family history of hypertension. Evaluation involves a thorough history and physical examination, laboratory tests, and specialized studies. Lifestyle modifications are advised for all patients and can be tried solely for those with blood pressures between the 95th and 99th percentiles. Drug therapy is indicated in children with blood pressures greater than the 99th percentile, secondary hypertension, coexisting diabetes, left ventricular hypertrophy, or those who fail a trial of non pharmacologic treatment.

Translated title of the contributionManagement of hypertension in children and adolescents: From diagnosis to treatment
Original languageItalian
Pages (from-to)226-234
Number of pages9
JournalMedico e Bambino
Volume27
Issue number4
Publication statusPublished - Apr 30 2008

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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