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

Yıl 2017, Cilt: 5 Sayı: 5, 5 - 9, 04.05.2017

Dr. Barış Güven

Öz

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 to be discovered about the impact of childhood hypertension on adult cardiovascular end points. Current review aimed to discuss new aspects of paediatric hypertension regarding diagnosis and treatment.

Anahtar Kelimeler

Children, Adolescents, Hypertension, Diagnosis, Treatment

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

Öz

Öz

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

Anahtar Kelimeler

Çocuklar, Ergenler, Hiper-tansiyon, Tanı, Tedavi

Kaynakça

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