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Secondary hypertension in children
1Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|August 6, 2000
Summary
Secondary hypertension in children is often curable. Common causes include coarctation of the aorta and lupus nephritis, with many presenting non-hypertensive symptoms. Survival depended on treatment like surgery or dialysis.
Area of Science:
- Pediatrics
- Nephrology
- Cardiology
Background:
- Secondary hypertension in children is a significant clinical concern.
- Early diagnosis and intervention are crucial for potentially curable causes.
Purpose of the Study:
- To analyze the etiological factors, clinical presentation, and outcomes of pediatric hypertension.
- To identify common causes and associated symptoms in hypertensive children.
Main Methods:
- Retrospective review of 136 children diagnosed with hypertension.
- Analysis of etiological factors, clinical presentation, and treatment outcomes.
Main Results:
- Coarctation of the aorta and systemic lupus nephritis were the most frequent causes in infants and adolescents, respectively.
- 37.5% of children presented with symptoms unrelated to hypertension.
- Mortality rate was 20.6%, with survival achieved through surgery, hemodialysis, or medication.
Conclusions:
- Secondary hypertension in children is treatable, with diverse etiologies.
- Recognizing non-specific symptoms is vital for timely diagnosis and management.
- Effective treatment strategies can lead to controlled hypertension and improved survival rates.