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Epidemiology and Management of Children with Hypertensive Crisis: A Single-Center Experience

Alicia May Lim1, Siew Le Chong1, Yong Hong Ng1

  • 1Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.

Journal of Pediatric Intensive Care
|January 28, 2020
PubMed

Insights

Pediatric hypertensive crisis is usually secondary to other conditions, most often renal pathology. Oral nifedipine and intravenous labetalol are effective treatments for children experiencing hypertensive crisis.

Area of Science:

  • Pediatric Nephrology
  • Cardiology
  • Clinical Pediatrics

Background:

  • Hypertensive crisis in children often indicates an underlying secondary cause.
  • Understanding the epidemiology and management is crucial for pediatric care.

Purpose of the Study:

  • To describe the epidemiology and management of pediatric hypertensive crisis.
  • To identify common causes and effective treatments for hypertensive crisis in children.

Main Methods:

  • Retrospective cohort study conducted in a tertiary pediatric hospital.
  • Analysis of 37 patients treated for hypertensive crisis between 2009 and 2015.

Main Results:

  • The majority of patients (89.1%) had secondary hypertension, with renal pathology being the most common cause (48.6%).
  • Oral nifedipine (62.1%) and intravenous labetalol (21.6%) were the most frequently used antihypertensives.
  • No mortalities or morbidities were reported.

Conclusions:

  • Pediatric hypertensive crisis is predominantly secondary.
  • Oral nifedipine and intravenous labetalol are effective and safe treatment options for pediatric hypertensive crisis.

Keywords:
hypertensive crisishypertensive emergencypediatric

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