Çocuklarda Ağır Hipertansiyona Yaklaşım

Year 2012, Volume: 10 Issue: 1, 133 - 136, 01.06.2012

Muhammet Şükrü Paksu Gökhan Kalkan

Abstract

Hipertansif kriz olarak da adlandırılan ciddi hipertansiyon HT kan basıncının akut olarakuç organ hasarına neden olabilecek düzeyde yükselmesidir. Çocukluk çağında sıkolmamakla birlikte potansiyel olarak yaşamı tehdit edici medikal bir acildir. Hipertansif krizklasik olarak santral sinir sistemi SSS , kalp, göz ve böbrek gibi uç organ tutulumun olupolmamasına göre hipertansif öncelikli durum ve hipertansif acil olmak üzere ikiye ayrılır.Kan basıncında hedef organ hasarının eşlik etmediği akut ciddi yükselme hipertansiföncelikli durum aciliyet , hedef organ hasarı veya ciddi semptomların eşlik ettiği akutciddi yükselme ise hipertansifacil olarak tanımlanır

Keywords

Çocuk, hipertansiyon, hipertansif ensefalopati

Approach to Severe Hypertension in Children

Abstract

Severe symptomatic hypertension which is also called hypertensive crisis is an acuteelevation in blood pressure to a level that has the potential to cause end-organ damage.Although not common in childhood, it is a life-threatening medical emergency.Hypertensive crises are classically distinguished into hypertensive urgency andhypertensive emergency depending on end-organ involvement including central nervoussystem CNS , heart, eye, and kidney. A severe elevation in blood pressure withoutevidence of acute target organ damage describes hypertensive urgency. Hypertensiveemergency is defined as severe hypertension complicated with severe symptoms oracute target organ dysfunction

Keywords

Child, hypertension, hypertensive encephalopathy

References

• 1. Hari P, Sinha A. Hypertensive Emergencies in Children. Indian J Pediatr 2011;78:569-75.
• 2. Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C et al. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 2009;27:1719-42.
• 3. Flynn JT, Tullus K. Severe hypertension in children and adolescents: pathophysiology and treatment. Pediatr Nephrol 2009;24:1101-12.
• 4. Constantine E, Linakis J. The assessment and management of hypertensive emergencies and urgencies in children. Pediatr Emerg Care 2005;21:391-6.
• 5. Falkner B. Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol 2010;25:1219-24.
• 6. Constantine E, Merritt C. Hypertensive emergencies in children: identification and management of dangerously high blood pressure. Minerva Pediatr 2009;61:175-84.
• 7. Porto I. Hypertensive emergencies in children. J Pediatr Health Care 2000;14:312-7.
• 8. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-76.
• 9. Zaritsky A, Whitby D. Hypertension in the Pediatric Intensive Care Unit. In: Fuhrman BP, Zimmerman JJ (eds). Pediatric critical care, Philadelphia: Mosby; 2006.