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Correspondence to Author: Nerfin Mysal, 

Department of Pediatric Nephrology, Dortcelik Children’s Hospital, Bursa, Turkey.

Abstract :
: Childhood hypertension (HTN) is a major cause of death and morbidity. pediatric obesity, effective blood pressure measurement, and growing awareness of pediatric hypertension have all contributed to a rise in the diagnosis of childhood hypertension.In this study, the etiology of hypertension, treatment regimens, responsiveness to treatment, and demographic profiles of children with hypertension were evaluated. This study examined children who were diagnosed with hypertension in our center between January 1, 2012, and December 31, 2013. At the time of diagnosis, the mean age of 231 individuals with hypertension was 14.4 ± 4.5. The classification of one hundred seventeen patients (50.6%) as having primary hypertension and 49.4% of the patients as having secondary hypertension was made. Out all the patients, 11.7% had a family history. A statistically significant difference (p = 0.01) was seen in the family history of seven secondary hypertension patients and twenty primary hypertension patients. Twenty individuals undergoing renal transplantation were discovered to be hypertensive, and there were seventeen hypertension children with chronic kidney disease. In 136 individuals, end organ damage was discovered. Ninety-four patients received lifestyle modification advice, sixty patients received calcium channel blockers, twenty-two received angiotensin converting enzyme inhibitors, 19 individuals received beta blockers, and the remaining patients received combination therapy. In 76.6% of cases, the patients received effective treatment. There was no difference in the response to treatment between primary and secondary hypertension.

Introduction :
Although its roots are frequently found in childhood, hypertension (HT) is a significant risk factor for cardiac, brain, and vascular illnesses that manifest in later life. Children have a lesser prevalence of HT (1 to 2%), in comparison to adults. However, the incidence of primary HT has been steadily rising as a result of a number of factors, including routine blood pressure checks in outpatient clinics, obesity brought on by consuming excessive amounts of high-calorie, high-fat foods, increased salt consumption, a decline in physical activity, and rising stress levels [1,2]. Determining the extent of HT, determining the prognosis, and choosing a course of treatment all depend on examining the end-organ damage.encompass the renal albumin excretion, retinopathy, and left ventricular mass. When it comes to anticipating end-organ damage, ambulatory blood pressure monitoring (ABPM) is thought to be more accurate than immediate blood pressure readings [4]. The current study assessed the end-organ damage, treatment outcomes, and demographics of children with HT. It also looked more closely at the genesis of HT.

Citation:

Nerfin Mysal, Hypertension in Children: A Single Center Experience. The Journal of Virology 2024.