Hypertension in Children and Adolescents: Diagnosis in the Recent Developments and Treatment?

Year 2017, Volume: 9 Issue: 3, 24 - 30, 15.05.2017

Dr. Barış Güven

Abstract

Abstract

The hypertension in childhood has become a major public health problem, as its prevalence is increasing in conjunction with the rise of number of the overweight children. High blood pressure in children has been shown to may persist into adulthood, and this emphasizes the importance of control. The evaluation of hypertensive children begins with the confirmation of high blood pressure outside the office measurements. There has been progress in the field of aetiology and pharmacologic treatment of hypertension in children with the introduction of new information for areas of pre and postnatal causes of hypertension; the use of ambulatory blood pressure monitoring in the evaluation of childhood hypertension and the relationship of obesity, diabetes and chronic kidney disease to hypertension. However, much is still tobe discovered about the impact of childhood hypertension on adult cardiovascularend points. Current review aimed to discuss new aspects of paediatric hypertensionregarding diagnosis and treatment.

Keywords

Children, adolescents, hypertension, diagnosis, treatment

Çocuk ve Ergenlerde Hipertansiyon:Son Gelişmeler Işığında Tanı ve Tedavi?

Abstract

Öz

Çocukluk çağında hipertansiyon görülme oranı  kilolu çocuk sayısının  artmasıyla birlikte  önemli bir halk sağlığı problemi haline gelmiştir. Çocuklardaki yüksekkan basıncının erişkin yaşamda devam ettiği gösterilmiştir. Bu durum hipertansiyon kontrolünün önemini daha da çok vurgulamaktadır. Hipertansif çocuğun değerlendirmesi yüksek kan basıncının hastane dışında da teyit edilmesiyle başlar.  Prenatalve postnatal hipertansiyon nedenleri, hipertansiyon ile diyabet, kronik böbrek hastalığı, obezite ilişkisi ve ayaktan kan basıncı izlemi kullanımı ile ilgili yeni bilgilerile birlikte çocuklardaki hipertansiyonun etyolojisi ve farmakolojik tedavisi hakkında gelişmeler yaşanmıştır. Ne var ki, çocukluk çağı hipertansiyonunun erişkin dönemdeki kardiyovasküler komplikasyonlar üzerine etkisi ile ilgili olarak halen keşif bekleyen noktalar bulunmaktadır.  Bu derlemede pediatrik hipertansiyon tanı vetedavi üzerine güncel bilgilerin tartışılması amaçlanmıştır.

Keywords

Çocuklar, ergenler, hipertansiyon, tanı, tedavi

References

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