Hypertension in Children: A Single Center Experience
Journal of Hypertension and Management
Backgrounds: Hypertension (HTN) in childhood is a serious cause of mortality and morbidity Hypertension during childhood is diagnosed more than past as a consequence of increasing awareness about childhood hypertension, measuring blood pressure by the accurate technique and childhood obesity epidemic. Aims: Demographic profiles, treatment regimens, response to treatment and etiology of hypertension were reviewed in children diagnosed with hypertension in this study. Study design: Retrospective
... ign: Retrospective cross-sectional study. Methods: Children diagnosed with hypertension in our center between January 1, 2012 and December 31, 2013 was reviewed in this study. Results: The mean age of 231 patients diagnosed as hypertensive was 14.4 ± 4.5 at the time of diagnosis. One hundred seventeen patients (50.6%) were classified as having primary hypertension and 49.4% of the patients were classified as having secondary hypertension. Family history was present in 11.7% of the patients. Twenty patients with primary hypertension had family history whereas 7 patients with secondary hypertension had family history; this difference was statistically significant (p = 0.01). There were 17 hypertensive children with chronic kidney disease and 20 renal transplantation patients were found to be hypertensive. End organ damage was found in 136 patients. Ninety four patients were advised life style changes, 60 patients were treated by calcium channel blockers, 22 patients by angiotensin converting enzyme inhibitors, 19 patients by beta blockers and the rest of the patients by combined therapy. Treatment was efficient in 76.6% of the patients. Response to treatment did not differ between primary and secondary hypertension. There was no association between end organ damage and younger age at the time of diagnosis.