Treatment of hypertension in children and adolescents.

Marc B Lande, Joseph T Flynn
Author Information
  1. Marc B Lande: Pediatric Nephrology, University of Rochester, Rochester, NY, USA.

Abstract

The treatment of hypertension in children and adolescents has been markedly changed in recent years by several factors, including the publication of new consensus recommendations, the obesity epidemic, and the increased availability of information on efficacy and safety of antihypertensive medications in the young. In this review we present an updated approach to the outpatient management of hypertension in the child or adolescent, utilizing representative cases to illustrate important principles as well as possible controversies.

References

  1. Pediatrics. 1997 Jun;99(6):904-8 [PMID: 9190555]
  2. Kidney Int. 2002 Aug;62(2):648-53 [PMID: 12110030]
  3. Am J Hypertens. 2004 Oct;17(10):928-35 [PMID: 15485756]
  4. J Cardiometab Syndr. 2006 Summer;1(4):259-68 [PMID: 17679805]
  5. Kidney Int. 2004 Aug;66(2):768-76 [PMID: 15253732]
  6. JAMA. 2003 May 21;289(19):2560-72 [PMID: 12748199]
  7. Hypertension. 2006 Jul;48(1):23-4 [PMID: 16735645]
  8. J Am Soc Nephrol. 2003 Oct;14(10):2618-22 [PMID: 14514740]
  9. Am J Kidney Dis. 1998 Nov;32(5):853-906 [PMID: 9820460]
  10. Recent Prog Horm Res. 2004;59:225-44 [PMID: 14749504]
  11. Pediatr Nephrol. 1998 May;12(4):328-37 [PMID: 9655366]
  12. Am J Kidney Dis. 2007 Jan;49(1):12-26 [PMID: 17185142]
  13. N Engl J Med. 2003 Sep 11;349(11):1064-75 [PMID: 12968091]
  14. J Pediatr. 2002 Aug;141(2):191-7 [PMID: 12183713]
  15. Pediatrics. 1997 Apr;99(4):637-8 [PMID: 9093320]
  16. N Engl J Med. 2000 Nov 9;343(19):1409-11 [PMID: 11070108]
  17. Pediatr Clin North Am. 2004 Oct;51(5):1401-20 [PMID: 15331291]
  18. J Pediatr. 2002 Jun;140(6):660-6 [PMID: 12072867]
  19. Int J Sports Med. 2000 Nov;21 Suppl 2:S94-6; discussion S97 [PMID: 11142600]
  20. Am J Cardiol. 2006 May 8;97(9A):10-6 [PMID: 16675317]
  21. Birth Defects Res A Clin Mol Teratol. 2003 Aug;67(8):591-4 [PMID: 14632309]
  22. Am J Kidney Dis. 2004 May;43(5 Suppl 1):S1-290 [PMID: 15114537]
  23. J Hypertens. 2005 Oct;23(10):1777-81 [PMID: 16148594]
  24. J Hypertens. 2001 Mar;19(3 Pt 2):523-8 [PMID: 11327624]
  25. Adv Chronic Kidney Dis. 2005 Oct;12(4):378-84 [PMID: 16198277]
  26. Pediatrics. 2004 Mar;113(3 Pt 1):475-82 [PMID: 14993537]
  27. Circulation. 1996 Aug 1;94(3):483-9 [PMID: 8759093]
  28. Am J Kidney Dis. 2002 Jan;39(1):209-11 [PMID: 11774126]
  29. JAMA. 2002 Dec 18;288(23):2981-97 [PMID: 12479763]
  30. Curr Sports Med Rep. 2003 Apr;2(2):79-83 [PMID: 12831663]
  31. Ann Intern Med. 1995 Nov 15;123(10):754-62 [PMID: 7574193]
  32. J Pediatr. 2006 Dec;149(6):746-54 [PMID: 17137886]
  33. Pediatr Diabetes. 2006 Dec;7(6):311-21 [PMID: 17212598]
  34. Pediatr Transplant. 2007 Jun;11(4):366-73 [PMID: 17493215]
  35. Pediatr Cardiol. 1999 Jan-Feb;20(1):66-9; discussion 70 [PMID: 9861083]
  36. Blood Press Monit. 2005 Dec;10(6):297-300 [PMID: 16496441]
  37. J Am Coll Cardiol. 2005 Apr 19;45(8):1346-8 [PMID: 15837285]
  38. Hypertension. 1987 Feb;9(2 Pt 2):II2-5 [PMID: 2948908]
  39. N Engl J Med. 2006 Jun 8;354(23):2443-51 [PMID: 16760444]
  40. Circulation. 2006 Apr 18;113(15):1905-20 [PMID: 16567564]
  41. Pediatr Nephrol. 2003 Feb;18(2):145-9 [PMID: 12579404]
  42. Pediatr Nephrol. 2008 Jan;23(1):27-39 [PMID: 17120060]
  43. J Am Coll Cardiol. 2005 Apr 19;45(8):1364-7 [PMID: 15837288]
  44. Growth Horm IGF Res. 2006 Jul;16 Suppl A:S84-90 [PMID: 16698298]
  45. Curr Opin Nephrol Hypertens. 2004 Mar;13(2):155-61 [PMID: 15202609]
  46. Am J Hypertens. 2007 Aug;20(8):875-82 [PMID: 17679036]
  47. J Clin Endocrinol Metab. 2005 Mar;90(3):1871-87 [PMID: 15598688]
  48. Adv Chronic Kidney Dis. 2004 Jul;11(3):319-27 [PMID: 15241746]
  49. Lancet. 2003 Jan 11;361(9352):117-24 [PMID: 12531578]
  50. N Engl J Med. 2002 Feb 7;346(6):393-403 [PMID: 11832527]
  51. Pediatrics. 2006 Jun;117(6):e1111-8 [PMID: 16682491]
  52. Am J Hypertens. 2002 Feb;15(2 Pt 2):50S-52S [PMID: 11866230]
  53. JAMA. 2003 Nov 5;290(17):2277-83 [PMID: 14600186]
  54. Pediatr Nephrol. 2005 Jun;20(6):791-7 [PMID: 15809834]
  55. Am J Kidney Dis. 2001 Jul;38(1):18-25 [PMID: 11431176]
  56. J Am Coll Cardiol. 2004 May 19;43(10):1817-22 [PMID: 15145106]
  57. Metabolism. 2006 Jul;55(7):871-8 [PMID: 16784957]
  58. Adolesc Med Clin. 2006 Oct;17(3):719-31; abstract xii [PMID: 17030288]
  59. Med Sci Sports Exerc. 2004 Mar;36(3):533-53 [PMID: 15076798]
  60. Clin J Sport Med. 1996 Jan;6(1):52-5 [PMID: 8925367]
  61. Pediatr Nephrol. 2006 Dec;21(12):1824-9 [PMID: 17039334]

Grants

  1. K23 HL080068/NHLBI NIH HHS
  2. 5K23HL080068-03/NHLBI NIH HHS

MeSH Term

Adolescent
Antihypertensive Agents
Child
Humans
Hypertension
Practice Guidelines as Topic

Chemicals

Antihypertensive Agents

Word Cloud

Created with Highcharts 10.0.0hypertensionchildrenadolescentstreatmentmarkedlychangedrecentyearsseveralfactorsincludingpublicationnewconsensusrecommendationsobesityepidemicincreasedavailabilityinformationefficacysafetyantihypertensivemedicationsyoungreviewpresentupdatedapproachoutpatientmanagementchildadolescentutilizingrepresentativecasesillustrateimportantprincipleswellpossiblecontroversiesTreatment

Similar Articles

Cited By