Hypertension in the teenager

Elizabeth I. Anyaegbu, Vikas R. Dharnidharka

Research output: Contribution to journalReview articlepeer-review

46 Scopus citations

Abstract

Over the last two decades, essential hypertension has become common in adolescents, yet remains under-diagnosed in absence of symptoms. Diagnosis is based on normative percentiles that factor in age, sex and height. Evaluation is more similar to adult essential hypertension than childhood secondary hypertension. Modifiable risk factors such as obesity, sodium consumption and low exercise should be addressed first. Many anti-hypertensive medications now have specific regulatory approval for children. Sports participation need not be limited in mild or well-controlled cases. Primary care physicians play an important role in reduction of cardiovascular mortality by early detection and referral when needed.

Original languageEnglish
Pages (from-to)131-151
Number of pages21
JournalPediatric Clinics of North America
Volume61
Issue number1
DOIs
StatePublished - Feb 2014

Keywords

  • Adolescents
  • Antihypertensive medications
  • Cardiovascular mortality
  • Hypertension
  • Obesity

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