Therapeutic Options for the Treatment of Hypertension in Children and Adolescents

Primary hypertension in children is increasing in prevalence with many cases likely going undiagnosed. The prevalence is currently estimated at between 3%-5% in the United States and may be higher in certain ethnic groups. Primary hypertension, once felt to be rare in children, is now considered to...

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Main Authors: Mary M. Stephens MD, MPH, Beth A. Fox MD, MPH, Lisa Maxwell MD
Format: Article
Language:English
Published: SAGE Publishing 2012-01-01
Series:Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
Online Access:https://doi.org/10.4137/CCRPM.S7602
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author Mary M. Stephens MD, MPH
Beth A. Fox MD, MPH
Lisa Maxwell MD
author_facet Mary M. Stephens MD, MPH
Beth A. Fox MD, MPH
Lisa Maxwell MD
author_sort Mary M. Stephens MD, MPH
collection DOAJ
description Primary hypertension in children is increasing in prevalence with many cases likely going undiagnosed. The prevalence is currently estimated at between 3%-5% in the United States and may be higher in certain ethnic groups. Primary hypertension, once felt to be rare in children, is now considered to be about five times more common than secondary hypertension. This review provides information to guide physicians through an organized approach to: 1) screening children and adolescents for hypertension during routine visits; 2) using normative percentile data for diagnosis and classification; 3) performing a clinical evaluation to identify the presence of co-morbidities; 4) initiating a plan of care including subsequent follow-up blood pressure measurements, therapeutic lifestyle changes and pharmacologic therapies.
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spelling doaj.art-2b4f9b1d30f7435db29dcff296871ba92022-12-21T19:49:52ZengSAGE PublishingClinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine1179-54842012-01-01610.4137/CCRPM.S7602Therapeutic Options for the Treatment of Hypertension in Children and AdolescentsMary M. Stephens MD, MPH0Beth A. Fox MD, MPH1Lisa Maxwell MD2Department of Family and Community Medicine Christiana Care Health System.Department of Family Medicine east Tennessee State University.Department of Family and Community Medicine Christiana Care Health System.Primary hypertension in children is increasing in prevalence with many cases likely going undiagnosed. The prevalence is currently estimated at between 3%-5% in the United States and may be higher in certain ethnic groups. Primary hypertension, once felt to be rare in children, is now considered to be about five times more common than secondary hypertension. This review provides information to guide physicians through an organized approach to: 1) screening children and adolescents for hypertension during routine visits; 2) using normative percentile data for diagnosis and classification; 3) performing a clinical evaluation to identify the presence of co-morbidities; 4) initiating a plan of care including subsequent follow-up blood pressure measurements, therapeutic lifestyle changes and pharmacologic therapies.https://doi.org/10.4137/CCRPM.S7602
spellingShingle Mary M. Stephens MD, MPH
Beth A. Fox MD, MPH
Lisa Maxwell MD
Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine
title Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
title_full Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
title_fullStr Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
title_full_unstemmed Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
title_short Therapeutic Options for the Treatment of Hypertension in Children and Adolescents
title_sort therapeutic options for the treatment of hypertension in children and adolescents
url https://doi.org/10.4137/CCRPM.S7602
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