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Pediatric Hypertension pp 421–427Cite as

Nonpharmacologic Treatment of Pediatric Hypertension

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Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

Abstract

During childhood, elevated systolic and/or diastolic blood pressure (BP) is commonly secondary to diseases of the kidneys, endocrine system, and/or cardiovascular system. When diagnostic evaluation does not reveal a cause for the elevation in BP, we call that condition essential, or idiopathic, hypertension (HTN). Over 90% of HTN in adults is essential HTN; there are well over 60 million Americans with essential HTN. Much has been written about research to control essential HTN in adults; relatively less work has been done concerning children. Many pharmacologic approaches, such as β-blockade, angiotensin-converting enzyme (ACE) inhibition, afterload reduction, α-blockade, etc., have been successful in lowering BP. When essential HTN occurs in childhood, a nonpharmacologic approach to lowering BP is preferable so that the patient may not require life-long medication. Long-term use of medications may be associated with significant side-effects and produce associated morbidity and/or mortality.

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Authors
  1. Bruce S. Alpert MD
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  2. Michael Hasselle BS
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  3. Sidney Ornduff PhD
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Editor information

Editors and Affiliations

  1. Division of Pediatric Nephrology and Hypertension, University of Texas-Houston, Medical School, Houston, TX, USA

    Ronald J. Portman MD (Chairman, Executive Committee, International Pediatric Hypertension Association, and Professor and Director) & Jonathan M. Sorof MD (Vice Chairman, Executive Committee, International Pediatric Hypertension Association, and Associate Professor) (Chairman, Executive Committee, International Pediatric Hypertension Association, and Professor and Director) &  (Vice Chairman, Executive Committee, International Pediatric Hypertension Association, and Associate Professor)

  2. Department of Pediatrics, Harvard Medical School, and Division of Pediatric Nephrology, Massachusetts General Hospital, Boston, MA, USA

    Julie R. Ingelfinger MD (Liaison, Executive Committee, International Pediatric Hypertension Association, Professor of Pediatrics, Senior Consultant in Pediatric Nephrology) (Liaison, Executive Committee, International Pediatric Hypertension Association, Professor of Pediatrics, Senior Consultant in Pediatric Nephrology)

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© 2004 Springer Science+Business Media New York

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Alpert, B.S., Hasselle, M., Ornduff, S. (2004). Nonpharmacologic Treatment of Pediatric Hypertension. In: Portman, R.J., Sorof, J.M., Ingelfinger, J.R. (eds) Pediatric Hypertension. Clinical Hypertension and Vascular Diseases. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-797-0_24

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  • DOI: https://doi.org/10.1007/978-1-59259-797-0_24

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-6149-8

  • Online ISBN: 978-1-59259-797-0

  • eBook Packages: Springer Book Archive

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