Hipertensión arterial sistémica en el niño y adolescente / Hypertension in children and adolescence
Arch. cardiol. Méx
; 78(supl.2): S2-82-S2-93, abr.-jun. 2008.
Article
in Spanish
| LILACS
| ID: lil-566670
Responsible library:
BR1.1
ABSTRACT
The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence of the early development of atherosclerosis in children would make the detection of and intervention in childhood hypertension important to reduce long-term health risks; however, supporting data are lacking. Secondary hypertension is more common in preadolescent children, with most cases caused by renal disease. Primary or essential hypertension is more common in adolescents and has multiple risk factors, including obesity and a family history of hypertension. Evaluation involves a through history and physical examination, laboratory tests, and specialized studies. Management is multifaceted. Nonpharmacologic treatments include weight reduction, exercise, and dietary modifications. Although the evidence of first line therapy for hypertension is still controversial, the recommendations for pharmacologic treatment are based on symptomatic hypertension, evidence of end-organ damage, stage 2 of hypertension, or stage 1 of hypertension unresponsive to lifestyle modifications, and hypertension with diabetes mellitus.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Hypertension
Type of study:
Practice guideline
/
Risk factors
Limits:
Adolescent
/
Child
/
Humans
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2008
Document type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Cardiología Ignacio Chávez/MX