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[Emergencies in arterial hypertension in children]
A Peco-Antić1, M Popović-Rolović, M Kostić
1University Children's Hospital, Belgrade.
Srpski Arhiv Za Celokupno Lekarstvo
|August 1, 1993
Summary
Hypertensive emergencies in children often stem from undiagnosed chronic hypertension, particularly of renal origin. Early detection during routine check-ups is crucial for preventing severe outcomes.
Area of Science:
- Pediatric Nephrology
- Hypertension Research
Context:
- A decade-long study (1982-1992) at Belgrade University Children's Hospital.
- Focused on 25 pediatric patients experiencing hypertensive emergencies.
Purpose:
- To analyze the causes, clinical manifestations, and outcomes of hypertensive emergencies in children.
- To highlight the importance of early hypertension detection in pediatric populations.
Summary:
- Twenty patients had chronic severe hypertension (19 renal origin); five had acute hypertension from poststreptococcal glomerulonephritis.
- Manifestations included neurologic disorders (15 patients) or cardiac failure.
- Renal function deteriorated in 9 patients; 3 died during crisis, others treated successfully.
Impact:
- Reveals that 50% of chronic hypertension cases were undetected before emergency presentation.
- Underscores the critical need for systematic screening and early detection of hypertension in children.
- Informs clinical practice regarding pediatric hypertensive emergencies and chronic hypertension management.