Evaluation and treatment of hypertensive crises in children
Deborah R Stein, Michael A Ferguson Division of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA Abstract: Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ i...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2016-03-01
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| Series: | Integrated Blood Pressure Control |
| Subjects: | |
| Online Access: | https://www.dovepress.com/evaluation-and-treatment-of-hypertensive-crises-in-children-peer-reviewed-article-IBPC |
| _version_ | 1828774619367079936 |
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| author | Stein DR Ferguson MA |
| author_facet | Stein DR Ferguson MA |
| author_sort | Stein DR |
| collection | DOAJ |
| description | Deborah R Stein, Michael A Ferguson Division of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA Abstract: Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ injury and even death. Treatment in the acute setting typically includes continuous intravenous antihypertensive medications with monitoring in the intensive care unit setting. Medications commonly used to treat severe hypertension have been poorly studied in children. Dosing guidelines are available, although few pediatric-specific trials have been conducted to facilitate evidence-based therapy. Regardless of what medication is used, blood pressure should be lowered gradually to allow for accommodation of autoregulatory mechanisms and to prevent cerebral ischemia. Determining the underlying cause of the blood pressure elevation may be helpful in guiding therapy. Keywords: hypertensive crisis, hypertensive urgency, hypertensive emergency, antihypertensive medications |
| first_indexed | 2024-12-11T15:25:29Z |
| format | Article |
| id | doaj.art-094016769dde4063baadf1cc53c56e3c |
| institution | Directory Open Access Journal |
| issn | 1178-7104 |
| language | English |
| last_indexed | 2024-12-11T15:25:29Z |
| publishDate | 2016-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Integrated Blood Pressure Control |
| spelling | doaj.art-094016769dde4063baadf1cc53c56e3c2022-12-22T01:00:14ZengDove Medical PressIntegrated Blood Pressure Control1178-71042016-03-012016Issue 1495826031Evaluation and treatment of hypertensive crises in childrenStein DRFerguson MADeborah R Stein, Michael A Ferguson Division of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA Abstract: Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ injury and even death. Treatment in the acute setting typically includes continuous intravenous antihypertensive medications with monitoring in the intensive care unit setting. Medications commonly used to treat severe hypertension have been poorly studied in children. Dosing guidelines are available, although few pediatric-specific trials have been conducted to facilitate evidence-based therapy. Regardless of what medication is used, blood pressure should be lowered gradually to allow for accommodation of autoregulatory mechanisms and to prevent cerebral ischemia. Determining the underlying cause of the blood pressure elevation may be helpful in guiding therapy. Keywords: hypertensive crisis, hypertensive urgency, hypertensive emergency, antihypertensive medicationshttps://www.dovepress.com/evaluation-and-treatment-of-hypertensive-crises-in-children-peer-reviewed-article-IBPCHypertensive crisishypertensive urgencyhypertensive emergencyantihypertensive medications |
| spellingShingle | Stein DR Ferguson MA Evaluation and treatment of hypertensive crises in children Integrated Blood Pressure Control Hypertensive crisis hypertensive urgency hypertensive emergency antihypertensive medications |
| title | Evaluation and treatment of hypertensive crises in children |
| title_full | Evaluation and treatment of hypertensive crises in children |
| title_fullStr | Evaluation and treatment of hypertensive crises in children |
| title_full_unstemmed | Evaluation and treatment of hypertensive crises in children |
| title_short | Evaluation and treatment of hypertensive crises in children |
| title_sort | evaluation and treatment of hypertensive crises in children |
| topic | Hypertensive crisis hypertensive urgency hypertensive emergency antihypertensive medications |
| url | https://www.dovepress.com/evaluation-and-treatment-of-hypertensive-crises-in-children-peer-reviewed-article-IBPC |
| work_keys_str_mv | AT steindr evaluationandtreatmentofhypertensivecrisesinchildren AT fergusonma evaluationandtreatmentofhypertensivecrisesinchildren |