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Evaluation and Management of Elevated BP in Children in the ED

Lilian Awad1, Usha Sethuraman2

  • 1Children's Hospital of Michigan, Detroit, MI, USA. lawad@dmc.org.

Current Hypertension Reports
|November 17, 2023
PubMed

Insights

Pediatric hypertension is increasing. This review covers updated definitions and management of high blood pressure and hypertensive crisis in children within the emergency department (ED).

Area of Science:

  • Pediatrics
  • Cardiology
  • Emergency Medicine

Background:

  • Pediatric hypertension prevalence has risen significantly over the last 40 years.
  • While often managed in primary care, some children require emergency department (ED) evaluation for severe hypertension or hypertensive crisis.

Purpose of the Study:

  • To review current definitions of elevated blood pressure and hypertension in children.
  • To discuss updated literature on the evaluation and management of pediatric hypertension and hypertensive crisis in the ED.

Main Methods:

  • Literature review of recent studies on pediatric hypertension.
  • Analysis of updated guidelines and clinical recommendations for emergency care.

Main Results:

  • Acute severe hypertension and hypertensive emergencies are critical conditions requiring prompt recognition and treatment.
  • Updated definitions and management strategies are crucial for effective pediatric care in the ED.

Conclusions:

  • Healthcare providers must be prepared to manage increasing cases of pediatric hypertension in emergency settings.
  • Adherence to updated definitions and management protocols can improve outcomes for children with hypertensive crisis.
Abstract

Keywords:
Blood pressureChildhood hypertensionHypertension managementHypertensive crisisPediatric emergency departmentPediatric hypertension

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