Evaluating and managing hypertension in children: a survey of Korean cardiologists and nephrologists / 소아과
Korean Journal of Pediatrics
;
: 992-997, 2008.
Artículo
en Coreano
| WPRIM
| ID: wpr-130266
ABSTRACT
PURPOSE:
Hypertension (HTN) is no longer an exclusively adult disease; the prevalence of pediatric HTN is increasing. To understand the evaluation and treatment of childhood HTN in Korea, we investigated, via a questionnaire, how hypertensive children are currently assessed and managed by pediatric cardiologists (CA) and nephrologists (NE).METHODS:
We surveyed 82 pediatric CA and 77 NE, regarding how they manage hypertensive children in Korea.RESULTS:
A total 75 replies were received to our questionnaire request (response rate 47.15%). Routine blood pressure (BP) checks were more frequently performed by NE (CA 5.7%, NE 25%, P=0.03), but most respondents (86%) did not check BP routinely. Mercury sphygmomanometers were the most commonly used devices and ambulatory blood pressure monitoring was not frequently used. The goal BP in treated patients was set at the 95th percentile by 61% of respondents. NE used a lower BP goal in hypertensive children with renal disease (CA 24%, NE 64%, P=0.004) or DM (CA 12.5%, NE 50%, P=0.003). Angiotensin converting enzyme (ACE) inhibitors were the most commonly used agents (mean 59%); following ACE inhibitors, CA preferred diuretics for hypertensive children with renal disease or cardiovascular disease, and NE preferred calcium channel blockers, regardless of underlying disease. Self-monitoring was the most frequent method for BP monitoring at home.CONCLUSION:
In Korea, BP measurement is not yet a routine examination in treating hypertension. There are some differences in management strategies vis-a-vis hypertension, between pediatric cardiologists and nephrologists. For the appropriate management and prevention of secondary disease in long-term studies, standard guidelines and education are needed for pediatricians.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Presión Sanguínea
/
Inhibidores de la Enzima Convertidora de Angiotensina
/
Bloqueadores de los Canales de Calcio
/
Enfermedades Cardiovasculares
/
Prevalencia
/
Encuestas y Cuestionarios
/
Peptidil-Dipeptidasa A
/
Monitoreo Ambulatorio de la Presión Arterial
/
Esfigmomanometros
/
Diuréticos
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio de prevalencia
/
Investigación cualitativa
Límite:
Adolescente
/
Adulto
/
Niño
/
Humanos
País/Región como asunto:
Asia
Idioma:
Coreano
Revista:
Korean Journal of Pediatrics
Año:
2008
Tipo del documento:
Artículo
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