Hipertensión arterial sistémica en el niño y adolescente / Hypertension in children and adolescence
Arch. cardiol. Méx
;
78(supl.2): S2-82-S2-93, abr.-jun. 2008.
Artigo
em Espanhol
| LILACS
| ID: lil-566670
ABSTRACT
The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence of the early development of atherosclerosis in children would make the detection of and intervention in childhood hypertension important to reduce long-term health risks; however, supporting data are lacking. Secondary hypertension is more common in preadolescent children, with most cases caused by renal disease. Primary or essential hypertension is more common in adolescents and has multiple risk factors, including obesity and a family history of hypertension. Evaluation involves a through history and physical examination, laboratory tests, and specialized studies. Management is multifaceted. Nonpharmacologic treatments include weight reduction, exercise, and dietary modifications. Although the evidence of first line therapy for hypertension is still controversial, the recommendations for pharmacologic treatment are based on symptomatic hypertension, evidence of end-organ damage, stage 2 of hypertension, or stage 1 of hypertension unresponsive to lifestyle modifications, and hypertension with diabetes mellitus.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Hipertensão
Tipo de estudo:
Guia de Prática Clínica
/
Fatores de risco
Limite:
Adolescente
/
Criança
/
Humanos
Idioma:
Espanhol
Revista:
Arch. cardiol. Méx
Assunto da revista:
Cardiologia
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
México
Instituição/País de afiliação:
Instituto Nacional de Cardiología Ignacio Chávez/MX
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