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Management of Hypertensive Emergencies

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Pediatric Hypertension

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Abstract

Severe, symptomatic hypertension occurs infrequently in childhood but when present often signifies a life-threatening emergency. The clinician needs to approach this situation with a sense of urgency to reduce blood pressure (BP) and limit end-organ damage while avoiding overly aggressive therapy, which may also lead to ischemia and further injury. This chapter discusses the causes, pathophysiology, evaluation, and treatment of severe hypertension.

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Abbreviations

BP:

Blood pressure

JNC:

Joint National Committee.

ECG:

Electrocardiogram.

PRES:

Posterior reversible leukoencephalopathy syndrome.

IV:

Intravenous.

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Authors and Affiliations

  1. SSM Health Cardinal Glennon Children’s Medical Center, Saint Louis University, 1465 S. Grand Blvd., St. Louis, MO, 63104, USA

    Craig W. Belsha

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  1. Craig W. Belsha
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Correspondence to Craig W. Belsha .

Editor information

Editors and Affiliations

  1. University of Washington School of Medicine, Department of Pediatrics and Seattle Children’s Hospital Division of Nephrology, Seattle, WA, USA

    Joseph T. Flynn

  2. Division of Nephrology MassGeneral for Children at Massachusetts General Hospital, Harvard Medical School Department of Pediatrics, Boston, MA, USA

    Julie R. Ingelfinger

  3. St. Luke’s Health System, Children’s Nephrology and Hypertension, Boise, ID, USA

    Karen M. Redwine

Section Editor information

  1. Department of Pediatrics, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, 72202, Little Rock, AR, USA

    Karen M. Redwine

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Belsha, C.W. (2018). Management of Hypertensive Emergencies. In: Flynn, J., Ingelfinger, J., Redwine, K. (eds) Pediatric Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-319-31107-4_37

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  • DOI: https://doi.org/10.1007/978-3-319-31107-4_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31106-7

  • Online ISBN: 978-3-319-31107-4

  • eBook Packages: MedicineReference Module Medicine

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