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Published on: May 5, 2018
Cardiovascular sequelae of childhood hypertension
1Department of Pediatrics, University of Cincinnati, College of Medicine and the Children's Hospital Medical Center, Ohio, USA. sdaniels@chmcc.org
Insights
Elevated blood pressure (BP) in children and adolescents is linked to atherosclerosis and left ventricular hypertrophy. Early identification and treatment of high blood pressure are crucial for preventing future cardiovascular disease.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Health
- Hypertension Research
Background:
- Elevated blood pressure (BP) is a known risk factor for cardiovascular morbidity and mortality in adults.
- Recent evidence indicates BP elevation also contributes to atherosclerosis development in children and adolescents.
- Hypertension is associated with left ventricular hypertrophy in both adults and pediatric populations.
Purpose of the Study:
- To highlight the significance of elevated blood pressure in pediatric populations.
- To emphasize the link between childhood hypertension and cardiovascular disease development.
- To advocate for the early identification and management of elevated BP in children and adolescents.
Main Methods:
- Review of autopsy studies.
- Analysis of noninvasive imaging techniques.
- Synthesis of existing research on pediatric hypertension and cardiovascular outcomes.
Main Results:
- Blood pressure elevation is a risk factor for atherosclerosis in childhood and adolescence.
- Elevated BP is associated with left ventricular hypertrophy in children and adolescents.
- Early detection of high BP in youth is critical.
Conclusions:
- Elevated blood pressure in children and adolescents is a significant risk factor for cardiovascular disease.
- Prompt identification and treatment of pediatric hypertension are essential for long-term cardiovascular health.
- Intervention in childhood is key to preventing adult cardiovascular morbidity and mortality.
Abstract:
Blood pressure (BP) elevation is a well-established risk factor for cardiovascular morbidity and mortality in adults. More recently, it has been established through autopsy studies and studies using noninvasive imaging techniques that BP elevation is also a risk factor for the development of atherosclerosis in childhood and adolescence. Hypertension is a powerful risk factor for left ventricular hypertrophy and for congestive heart failure in adults. It is now clear that BP elevation is also associated with left ventricular hypertrophy in children and adolescents. If cardiovascular disease morbidity and mortality are to be prevented, then children with elevated BP must be identified and appropriately treated.
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