Publications - Journal

Hypertension in Children

Volumn 33, Issue 2 - June 01, 2009

Prevalence of hypertension in children is diffuse in west less well known in our set up. Hypertension is defined as average systolic blood pressure and/or diastolic blood pressure that is ≥95th percentile for age, gender and height on ≥3 occasions. It may be described as primary (essential) or secondary due to a definable cause. Renal parenchymal diseases, renovascular conditions, obstructive-uropathy, endocrine and connective tissue diseases are major causes of secondary hypertension. Staging of hypertension is helpful for planning of evaluation of this condition. Blood pressure should be measured annually in all more than 3 years old who are seen in health center and in all at-risk younger children. Systematic history taking, physical examination and laboratory investigations are necessary in evaluation of childhood hypertension. Laboratory investigations may be grouped into tests for initial evaluation, additional evaluation and evaluation for target end organ damage. Consultation with a pediatric sub-specialist may be expected in cases where any clue regarding underlying cause of hypertension is not found.

Key words: Hypertension, evaluation, children.