
Lesley Rees
et al.
Published online:
01 March 2019
Published in print:
01 February 2019
Online ISBN:
9780191826863
Print ISBN:
9780198784272
Contents
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Basic concepts of blood pressure and defining hypertension in children Basic concepts of blood pressure and defining hypertension in children
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The concept of blood pressure The concept of blood pressure
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Defining hypertension in children Defining hypertension in children
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The importance of recognizing hypertension in the young The importance of recognizing hypertension in the young
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Measurement of blood pressure in infants and children Measurement of blood pressure in infants and children
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Important points Important points
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Techniques used to measure blood pressure in children Techniques used to measure blood pressure in children
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Selecting the right cuff size Selecting the right cuff size
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Circumstances of measurement Circumstances of measurement
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Korotkoff phases Korotkoff phases
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Comments Comments
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Doppler ultrasound technique Doppler ultrasound technique
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Alternatives to mercury sphygmomanometers Alternatives to mercury sphygmomanometers
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Aneroid manometers Aneroid manometers
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Accoson Greenlight® Accoson Greenlight®
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Oscillometry Oscillometry
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Other important points in the clinical evaluation Other important points in the clinical evaluation
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Family history Family history
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Patient history Patient history
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Physical examination Physical examination
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Investigation of hypertension in the young Investigation of hypertension in the young
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First-line investigations to be considered in all cases of paediatric hypertension First-line investigations to be considered in all cases of paediatric hypertension
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Second-line investigations Second-line investigations
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Further reading Further reading
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Further reading Further reading
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Renovascular hypertension Renovascular hypertension
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Causes of renovascular disease Causes of renovascular disease
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Presenting symptoms Presenting symptoms
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When to suspect renovascular disease When to suspect renovascular disease
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Investigations Investigations
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Involvement of vascular beds Involvement of vascular beds
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Treatment Treatment
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Further reading Further reading
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Further reading Further reading
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Treatment Treatment
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Treatment of hypertensive emergency Treatment of hypertensive emergency
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Hypertensive crisis Hypertensive crisis
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Initiation of treatment of acute severe (>99th percentile) hypertension (non-hypertensive crisis) Initiation of treatment of acute severe (>99th percentile) hypertension (non-hypertensive crisis)
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Long-term treatment in children and adolescents Long-term treatment in children and adolescents
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Phaeochromocytoma Phaeochromocytoma
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Additional medications Additional medications
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Ambulatory blood pressure measurement in children Ambulatory blood pressure measurement in children
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Advantages Advantages
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Disadvantages Disadvantages
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Measuring ambulatory blood pressure in children Measuring ambulatory blood pressure in children
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Interpretation of results Interpretation of results
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Definitions Definitions
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Cite
Rees, Lesley, and others, 'Hypertension', Paediatric Nephrology, 3 edn, Oxford Specialist Handbooks in Paediatrics (Oxford , 2019; online edn, Oxford Academic, 1 Mar. 2019), https://doi.org/10.1093/med/9780198784272.003.0016, accessed 3 May 2025.
Abstract
In children, hypertension by definition affects <5% of the paediatric population. In contrast to adults, where hypertension is typically idiopathic, a primary cause is often identified, especially in young children. This chapter reviews the definition and diagnosis of hypertension and the work-up to identify a potentially underlying cause. The latter is critical to instigate appropriate treatment.
Subject
Paediatrics
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
More
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
© Oxford University Press
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