Pediatric Hypertension (JT Flynn, Section Editor)

Current Hypertension Reports

, Volume 15, Issue 5, pp 433-443

First online:

Evaluation of Hypertension in Children

  • Gaurav KapurAffiliated withChildren’s Hospital of Michigan, Wayne State University School of Medicine Email author 
  • , Rossana BaraccoAffiliated withChildren’s Hospital of Michigan, Wayne State University School of Medicine

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Abstract

Hypertension is an important public health problem, and increasingly children are being diagnosed with primary hypertension. As the list of secondary causes of hypertension is extensive, pediatric practitioners increasingly need to decide on investigations needed for evaluating children presenting with high blood pressure. The differentiation between primary and secondary hypertension is paramount to understanding this important health issue, since many forms of secondary hypertension require specific treatment. The review evaluates the current available guidelines and practice patterns for evaluating children with elevated blood pressure. The review also aims to provide a framework for cost-effective evaluation strategies for children with elevated blood pressure based on current recommendations and evidence.

Keywords

Hypertension Primary hypertension Secondary hypertension Evaluation Children Stage 1 hypertension Stage 2 hypertension Reno-vascular hypertension Workup Renal ultrasonography Renin PRA Monogenic hypertension Microalbuminuria Baseline evaluation Echocardiography High blood pressure BP Low renin hypertension ABPM BP measurement Pediatric hypertension