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Published on: April 7, 2023
Pediatric hypertensive emergencies
Rossana Baracco1, Tej K Mattoo
1Children's Hospital of Michigan, Wayne State University, 3901 Beaubien St., Detroit, MI, 48201, USA, rbaracco@med.wayne.edu.
Insights
Hypertensive emergency in children requires immediate care, often involving intensive treatment and monitoring. This review discusses recent findings on managing this severe condition and its underlying causes.
Area of Science:
- Pediatrics
- Cardiology
- Nephrology
Background:
- Hypertensive emergency is a critical condition demanding prompt medical attention.
- In pediatric cases, severe hypertension often stems from diverse underlying pathologies.
- Neurological symptoms are common, but renal, myocardial, and ocular injuries may also manifest.
Purpose of the Study:
- To review recent findings and observations concerning pediatric hypertensive emergencies.
- To synthesize current knowledge on the evaluation and management of severe hypertension in children.
Main Methods:
- Literature review of recent studies on pediatric hypertensive emergencies.
- Analysis of clinical presentations, underlying causes, and treatment strategies.
- Discussion of findings from recent research in intensive care settings.
Main Results:
- Severe hypertension in children necessitates hospitalization and intravenous antihypertensive therapy.
- Close monitoring in intensive care units is crucial for managing hypertensive emergencies.
- Recent studies highlight various underlying conditions contributing to pediatric hypertension.
Conclusions:
- Prompt diagnosis and management are vital for pediatric hypertensive emergencies.
- Intravenous treatment and intensive care monitoring are standard protocols.
- Further research is needed to fully understand and address the complexities of hypertensive emergencies in children.
Abstract:
Hypertensive emergency is a life-threatening condition that requires immediate evaluation and treatment. In children, severe hypertension can be caused by a variety of different underlying conditions. It usually presents with neurological involvement; however, signs and symptoms of injury to the kidneys, myocardium and eyes can also be present. Hospitalization for intravenous treatment with antihypertensive(s) and close monitoring in an intensive care setting are required for these patients. Few studies in children with hypertensive emergency have been done in the last several years. The findings and observations of these studies are discussed in this review.
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