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[Does essential hypertension exist in childhood?].

G B Stickler

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |December 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Essential hypertension in children is rare and difficult to diagnose. Most children initially diagnosed with high blood pressure do not have sustained essential hypertension upon reevaluation.

    Area of Science:

    • Pediatric Cardiology
    • Hypertension Research
    • Clinical Pediatrics

    Context:

    • Essential hypertension diagnosis in pediatric populations presents significant challenges.
    • Longitudinal studies are crucial for accurate hypertension classification in children.
    • Obesity is a common comorbidity but may not indicate sustained hypertension.

    Purpose:

    • To reevaluate the diagnosis of essential hypertension in a cohort of children and adolescents.
    • To identify criteria for sustained hypertension in pediatric patients.
    • To differentiate essential hypertension from secondary causes or transient elevations.

    Summary:

    • Out of 44 pediatric patients initially diagnosed with essential hypertension, only 8 maintained elevated blood pressure upon follow-up.

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  • Three patients were reclassified as having secondary hypertension.
  • Sustained hypertension was associated with specific initial diastolic blood pressure thresholds based on age (<12 years: >90 mmHg; ≥12 years: >100 mmHg).

    • Impact:

    • Refines diagnostic criteria for essential hypertension in children.
    • Highlights the importance of reevaluation for pediatric hypertension diagnoses.
    • Informs clinical practice regarding the long-term prognosis of childhood hypertension.