Hypertension In Children guide  
 

Hypertension: Hypertension In Children
By Nancy Drew

Hypertension or high blood pressure in children is a very frightening and potentially life shortening condition. Being so young and having their heart have to work overtime is not a good prognosis for a long life.

Hypertension Risks

Children with hypertension are at risk for stroke, heart attack, kidney disease, and a host of other ailments that will, if left unattended, shorten their lifetime substantially. The most dangerous risk is that it goes untreated, because it produces no symptoms in the body.

History Of Hypertension

The old adage "you are what you eat" was even true back in the Egyptian empire, as world renowned archeologists discovered through examining mummified remains of royal children. You guessed it: they discovered a high degree of hypertension in children.

Having no fast food restaurants to flee to, the royal children were forced to eat what their parents ate. Their parents had a very high rate of hypertension as well, due to the high level of fat and salt in their diet.

Hypertension in children is

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Hypertension and atrial fibrillation: diagnostic approach, prevention and treatment. Position paper of the Working Group 'Hypertension Arrhythmias and Thrombosis' of the European Society of Hypertension.

Author: Manolis, Athanasios J. a; Rosei, Enrico Agabiti b; Coca, Antonio c; Cifkova, Renata d; Erdine, Serap E. e; Kjeldsen, Sverre f; Lip, Gregory Y.H. g; Narkiewicz, Krzysztof h; Parati, Gianfranco i; Redon, Josep j; Schmieder, Roland k; Tsioufis, Costas l; Mancia, Giuseppe m
Page: 239-252

Ambulatory blood pressure monitoring in Australia: 2011 consensus position statement.
Author: Head, Geoffrey A. a; McGrath, Barry P. b; Mihailidou, Anastasia S. c; Nelson, Mark R. d; Schlaich, Markus P. a; Stowasser, Michael e; Mangoni, Arduino A. f; Cowley, Diane e; Brown, Mark A. g; Ruta, Lee-Anne h; Wilson, Alison h
Page: 253-266

Reflections on determinants of augmentation index.
Author: Avolio, Alberto; Butlin, Mark; Xu, Ke
Page: 267-268

The threat of ethnicity for cardiovascular disease risk.
Author: Carrington, Melinda J. a; Grassi, Guido b
Page: 269-270

Effect of treatment on cardiac small resistance arteries in hypertension and diabetes: trick or treat.
Author: Schiffrin, Ernesto L. a,b
Page: 271-272

Systolic and diastolic pulse wave velocity: a confusing parameter or a new frontier?.
Author: Salvi, Paolo
Page: 273-274

Physical activity and sedentary behaviour at different life stages and adult blood pressure in the 1958 British cohort.
Author: Pouliou, Theodora; Ki, Myung; Law, Catherine; Li, Leah; Power, Chris
Page: 275-283

Serum 25-hydroxyvitamin D levels and all-cause and cardiovascular disease mortality among US adults with hypertension: the NHANES linked mortality study.
Author: Zhao, Guixiang a; Ford, Earl S. a; Li, Chaoyang b; Croft, Janet B. a
Page: 284-289

Blood pressure and other metabolic syndrome factors and risk of brain tumour in the large population-based Me-Can cohort study.
Author: Edlinger, Michael a; Strohmaier, Susanne a; Jonsson, Hakan b; Bjorge, Tone c,d; Manjer, Jonas e; Borena, Wegene T. a; Haggstrom, Christel f; Engeland, Anders c,d; Tretli, Steinar g; Concin, Hans h; Nagel, Gabriele i; Selmer, Randi d; Johansen, Dorthe e; Stocks, Tanja f; Hallmans, Goran j; Stattin, Par f,k; Ulmer, Hanno a
Page: 290-296

Supine and upright haemodynamic effects of sublingual nitroglycerin and inhaled salbutamol: a double-blind, placebo-controlled, randomized study.
Author: Tahvanainen, Anna M. a; Tikkakoski, Antti J. a; Leskinen, Miia H. a; Nordhausen, Klaus b; Kahonen, Mika a,c; Koobi, Tiit c; Mustonen, Jukka T. a,d; Porsti, Ilkka H. a,d
Page: 297-306

Aortic augmentation index and pulse wave velocity in response to head-up tilting: effect of autonomic failure.
Author: Huijben, Auke M.T. a; Mattace-Raso, Francesco U.S. b; Deinum, Jaap c; Lenders, Jacques c,d; van den Meiracker, Anton H. a
Page: 307-314

Peroxisome proliferator-activated receptor-[gamma] activation reduces cyclooxygenase-2 expression in vascular smooth muscle cells from hypertensive rats by interfering with oxidative stress.
Author: Martin, Angela a,*; Perez-Giron, Jose V. a,*; Hernanz, Raquel a; Palacios, Roberto a; Briones, Ana M. b; Fortuno, Ana c; Zalba, Guillermo c; Salaices, Mercedes b; Alonso, Maria J. a
Page: 315-326

Insulin resistance, prehypertension, hypertension and blood pressure values in paediatric age.
Author: Genovesi, Simonetta a; Brambilla, Paolo b; Giussani, Marco b; Galbiati, Sara a; Mastriani, Silvana a; Pieruzzi, Federico a; Stella, Andrea a; Valsecchi, Maria Grazia c; Antolini, Laura c
Page: 327-335

Influence of parental history of hypertension on screen time and physical activity in young offspring.
Author: Gopinath, Bamini a; Hardy, Louise L. b; Baur, Louise A. b,c; Teber, Erdahl a; Mitchell, Paul a
Page: 336-341

Changes in blood pressure during healthy pregnancy: a longitudinal cohort study.
Author: Grindheim, Guro a; Estensen, Mette-Elise b,c; Langesaeter, Eldrid a; Rosseland, Leiv Arne a,d; Toska, Karin e
Page: 342-350

Markers of cardiovascular disease risk after hypertension in pregnancy.
Author: Mangos, George J.; Spaan, Julia J.; Pirabhahar, Saiyini; Brown, Mark A.
Page: 351-358

The relationship between hypertension and obesity across different ethnicities.
Author: Foulds, Heather J.A. a,b,c; Bredin, Shannon S.D. c,d; Warburton, Darren E.R. a,b,c
Page: 359-367

Longitudinal changes in blood pressure during weight loss and regain of weight in obese boys and girls.
Author: Holm, Jens-Christian a,b,c,d; Gamborg, Michael b; Neland, Mette e; Ward, Leigh f; Gammeltoft, Steen c; Heitmann, Berit L. b; Sorensen, Thorkild I.A. b; Ibsen, Karsten K. d
Page: 368-374

Circulating ACE2 activity is increased in patients with type 1 diabetes and vascular complications.
Author: Soro-Paavonen, Aino a; Gordin, Daniel a; Forsblom, Carol a; Rosengard-Barlund, Milla a; Waden, Johan a; Thorn, Lena a; Sandholm, Niina a; Thomas, Merlin C. b; Groop, Per-Henrik a,b; on behalf of the FinnDiane Study Group
Page: 375-383

Effects of diabetes and hypertension on structure and distensibilty of human small coronary arteries.
Author: Lynch, Fiona M. a; Izzard, Ashley S. a; Austin, Clare a; Prendergast, Brian b; Keenan, Daniel b; Malik, Rayaz A. a; Heagerty, Anthony M. a
Page: 384-389

Mild hyperparathyroidism: a novel surgically correctable feature of primary aldosteronism.
Author: Maniero, Carmela a; Fassina, Ambrogio b; Seccia, Teresa M. a; Toniato, Antonio d; Iacobone, Maurizio e; Plebani, Mario c; De Caro, Raffaele f; Calo, Lorenzo A. a; Pessina, Achille C. a; Rossi, Gian P. a
Page: 390-395

The change in arterial stiffness over the cardiac cycle rather than diastolic stiffness is independently associated with left ventricular mass index in healthy middle-aged individuals.
Author: Hermeling, Evelien a; Vermeersch, Sebastian J. b,c; Rietzschel, Ernst R. d; de Buyzere, Marc L. d; Gillebert, Thierry C. d; van de Laar, Roel J. e; Ferreira, Isabel f; Hoeks, Arnold P. a; van Bortel, Luc M. b; Reneman, Robert S. g; Segers, Patrick b; Reesink, Koen D. a
Page: 396-402

Tissue Doppler indexes of left ventricular systolic function in relation to the pulsatile and steady components of blood pressure in a general population.
Author: Sakiewicz, Wojciech a; Kuznetsova, Tatiana b; Kloch-Badelek, Malgorzata c; D'hooge, Jan d; Ryabikov, Andrew e; Kunicka, Katarzyna a; Swierblewska, Ewa a; Thijs, Lutgarde b; Jin, Yu b; Loster, Magdalena c; Malyutina, Sofia e; Stolarz-Skrzypek, Katarzyna c; Kawecka-Jaszcz, Kalina c; Narkiewicz, Krzysztof a; Staessen, Jan A. b,f; on behalf of the European Project On Genes in Hypertension (EPOGH) Investigators
Page: 403-410

Left ventricular hypertrophy and renal dysfunction during antihypertensive treatment adversely affect cardiovascular prognosis in hypertensive patients.
Author: Salvetti, Massimo; Muiesan, Maria L.; Paini, Anna; Monteduro, Cristina; Agabiti-Rosei, Claudia; Aggiusti, Carlo; Bertacchini, Fabio; Stassaldi, Deborah; Castellano, Maurizio; Agabiti-Rosei, Enrico
Page: 411-420

Inappropriately high left-ventricular mass in asymptomatic mild-moderate aortic stenosis.
Author: Cioffi, Giovanni a; de Simone, Giovanni b; Cramariuc, Dana c,d; Mureddu, Gian F. e; Gerdts, Eva c,d
Page: 421-428

Pulse wave encephalopathy.
Author: O'Rourke, Michael F. a; Safar, Michel E. b
Page: 429

Validation of carotid blood pressure assessment by tonometry.
Author: Takenaka, Tsuneo; Kikuta, Tomohiro; Watanabe, Yusuke; Inoue, Tsutomu; Takane, Hiroshi; Ohno, Yoichi; Suzuki, Hiromichi
Page: 429-432

Response to 'Validation of carotid blood pressure assessment by tonometry'.
Author: Segers, Patrick a; Vermeersch, Sebastian a,b; Kips, Jan a,b; Van Bortel, Luc b
Page: 432

The history of primary hyperaldosteronism with simultaneous hypercortisolism.
Author: Ferri, Claudio; Grassi, Davide
Page: 432-433

Adrenal venous sampling crucial in primary aldosteronism?.
Author: Dekkers, Tanja; Deinum, Jaap
Page: 433-435

Supracentrimetric nodule on computed tomography does not exclude adrenal venous sampling before surgery for primary aldosteronism.
Author: Sarlon-Bartoli, Gabrielle; Silhol, Francois; Vaisse, Bernard
Page: 435-436

Meta-analysis supports ACCORD blood pressure but effect of excessive DBP lowering uncertain.
Author: Allen, Michael J.M. a; Kelly, Kim D. b; Fleming, Isobel a
Page: 436-438

Blood pressure lowering in diabetic patients.
Author: Reboldi, Gianpaolo a; Gentile, Giorgio a; Angeli, Fabio b; Ambrosio, Giuseppe c; Mancia, Giuseppe d; Verdecchia, Paolo e
Page: 438-439

European Society of Hypertension scientific newsletter: hypertension and aortic diseases.
Author: Baguet, Jean-Philippe a,b; Chavanon, Olivier c; Sessa, Carmine d; Thony, Frederic e; Lantelme, Pierre f; Barone-Rochette, Gilles a,b; Mallion, Jean-Michel a
Page: 440-443

on a rapid increase due primarily to obesity. Most of today's children are lazy and spoiled just like their baby boomer parents. Rather than go out for a run or a walk, they will play a computer game while at the same time consuming a cheese burger, fries, and coke, just for a snack.

Hypertension Treatment Options

As soon as you, your parents, and the doctor discover that you have child hypertension, a realistic blood pressure goal should be established. You will need to purchase a blood pressure monitor and record it every hour, day, and week. In this manner you might be very surprised at what trends you identify.

Establishing a well rounded diet that is low in salt and fat can go a long ways in treating hypertension in children. The old saying "he sure is hyper today" was not a result of the child sucking on too much hard candy; it was most likely because he had hypertension.

Go ahead and let your kids run around like they are crazy. The physical exercise is actually fighting their hypertension in children.

Blood Pressure

A normal fully grown adult's blood pressure should be around 120/80; however, this is not true of a child who is still growing. Their recommended blood pressure will vary with height and weight.

Positive Thinking

Try and teach your child from an early age to think positively and not to worry about things they have no control over. Remember a hundred smiles a day keeps children's hypertension away.

 


 
 
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