Primary hypertension and special aspects of hypertension in older children and adolescents.

Ellis, Demetrius and Miyashita, Yosuke (2011) Primary hypertension and special aspects of hypertension in older children and adolescents. Adolesc Health Med Ther, 2. 45 - 62. ISSN 1179-318X

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Abstract

The prevalence of hypertension has increased at an accelerated rate in older children and adolescents. This has raised great concern about premature development of cardiovascular disease, which has major long-term health and financial implications. While obesity and sedentary habits largely explain this phenomenon, there are other social and cultural influences that may unmask genetic susceptibility to hypertension in the pediatric population. While it is essential to exclude numerous causes of secondary hypertension in every child, these disorders are not discussed in this review. Rather, the aim of this review is to familiarize pediatricians with casual and ambulatory blood pressure measurement, epidemiology, pathophysiology, and management of several common conditions that play a role in the development of hypertension in children and adolescents. Besides primary hypertension and obesity-related hypertension, emphasis is given to epidemiology, measurement of blood pressure, including ambulatory blood pressure monitoring, hypertension associated with drug use, teenage pregnancy, and video and computer games. Lastly, because pediatricians are increasingly confronted with special issues concerning the management of the hypertensive athlete, this topic is also addressed.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Ellis, Demetrius ellisd@pitt.edu ELLISD Miyashita, Yosuke
Date:	2011
Date Type:	Publication
Journal or Publication Title:	Adolesc Health Med Ther
Volume:	2
Page Range:	45 - 62
DOI or Unique Handle:	10.2147/ahmt.s11715
Schools and Programs:	School of Medicine > Pediatrics
Refereed:	Yes
Uncontrolled Keywords:	adolescents, athletes, drugs, hypertension, obesity, pregnancy
ISSN:	1179-318X
Date Deposited:	04 Dec 2012 22:25
Last Modified:	13 Oct 2017 23:56
URI:	http://d-scholarship.pitt.edu/id/eprint/16756

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