Hypertension in children and adolescents

Czech version

Authors: Tomáš Seeman ^1,3; Alexandr Kolský ²; Terezie Šuláková ¹
Authors‘ workplace: Klinika dětského lékařství, Fakultní nemocnice Ostrava ¹; Klinika dětí a dorostu, 3. lékařská fakulta, Univerzita, Karlova, Praha ²; Pediatrická klinika, 2. lékařská, fakulta, Univerzita Karlova, Praha ³
Published in: Čes-slov Pediat 2025; 80 (1): 39-46.
Category: Differential diagnostics in pediatrics
doi: https://doi.org/10.55095/CSPediatrie2025/006

Overview

Seeman T, Kolský A, Šuláková T. Hypertension in children and adolescents

Arterial hypertension i sone of the most common risk factor for cardiovascular morbidity and mortality in adults and cardiovascular and kidney diseases in children. these recommendations for diagnosis and treatment of hypertension in children are based on the current recommendations of the european society for Hypertension and the european academy of pediatrics.(1,2)

Hypertension in children is defined as repeatedly (at least 3×) blood pressure ≥ 95th percentile. For adolescents aged 16 and over, it is recommended to use the adult criteria. the incidence of hypertension in childhood has risen significantly in the last decade to an incidence of 1-4%. Hypertension is divided into primary (essential) and secondary. every child with hypertension must be carefully examined. Basic tests that must be performed in all children with hypertension include urine and blood tests, kidney ultrasound, and echocardiography.

The treatment of hypertension consists in the treatment of the underlying disease in cases of secondary hypertension (causal), in non-pharmacological measures (reduction of overweight/obesity, reduction of excessive salt intake and sufficient exercise) and pharmacological treatment. nowadays, five groups of antihypertensive drugs are allowed for children. ace-inhibitors are the drug of first choice for renal hypertension. the goal of treatment is not only to normalize Bp, but also to induce regression of hypertension-mediated organ damage (left ventricular hypertrophy, albuminuria).

Keywords:

albuminuria – kidneys – left ventricular hypertrophy – blood pressure – hypertension-mediated organ damage

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