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Left Ventricular Hypertrophy in Children with Hypertension: in Search of a Definition

Christine B Sethna1, Daniel E Leisman2

  • 1Division of Pediatric Nephrology, Cohen Children's Medical Center of New York, 269-01 76th Avenue, 11040, New Hyde Park, NY, USA. csethna@northwell.edu.

Current Hypertension Reports
|July 13, 2016
PubMed

Insights

Left ventricular hypertrophy (LVH) in hypertensive children lacks a standardized definition, leading to varied diagnostic approaches. Establishing a consensus is crucial for accurate pediatric hypertension management.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Imaging
  • Hypertension Research

Background:

  • Left ventricular hypertrophy (LVH) is a significant concern in pediatric hypertension.
  • Accurate diagnosis and management of LVH are critical for long-term cardiovascular health in children.

Purpose of the Study:

  • To review the importance of LVH in pediatric hypertension.
  • To highlight diagnostic methods and challenges in defining pediatric LVH.
  • To emphasize the need for standardization and a consensus definition for LVH in children.

Main Methods:

  • Review of current literature on pediatric LVH diagnosis.
  • Analysis of variations in imaging modalities and measurement techniques.
  • Examination of methods for left ventricular mass (LVM) calculation and indexing.

Main Results:

  • Significant variation exists in the definition and assessment of pediatric LVH.
  • Inconsistent approaches are noted in imaging, measurement, indexing, normalization, and reference data.
  • Lack of consensus hinders consistent clinical practice and reporting.

Conclusions:

  • There is a critical need for a standardized definition and diagnostic approach for LVH in pediatric hypertension.
  • Standardization will improve accuracy in LVH assessment and patient management.
  • A consensus definition is essential for advancing research and clinical care in pediatric cardiovascular health.
Abstract

Keywords:
ChildrenDefinitionEchocardiogramHypertensionLeft ventricular hypertrophyTarget organ damage

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