Hypertensive crisis in children and adolescents.
Children
End-organ damage
Hypertensive crisis
Hypertensive emergency
Hypertensive urgency
Severe hypertension
Journal
Pediatric nephrology (Berlin, Germany)
ISSN: 1432-198X
Titre abrégé: Pediatr Nephrol
Pays: Germany
ID NLM: 8708728
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
28
06
2018
accepted:
18
09
2018
revised:
17
09
2018
pubmed:
3
10
2018
medline:
25
8
2020
entrez:
3
10
2018
Statut:
ppublish
Résumé
Hypertensive crisis is a relatively rare condition in children. However, if not treated, it might be life-threatening and lead to irreversible damage of vital organs. Clinical presentation of patients with hypertensive crisis can vary from very mild (hypertensive urgency) to severe symptoms (hypertensive emergency) despite similarly high blood pressure (BP). Individualized assessment of patients presenting with high BP with emphasis on the evaluation of end-organ damage rather than on the specific BP number is a key in guiding physician's initial management of a hypertensive crisis. The main aim of the treatment of hypertensive crisis is the prevention or treatment of life-threatening complications of hypertension-induced organ dysfunction, including neurologic, ophthalmologic, renal, and cardiac complications. While the treatment strategy must be directed toward the immediate reduction of BP to reduce the hypertensive damage to these organs, it should not be at a too fast rate to cause hypoperfusion of vital organs by an excessively rapid reduction of BP. Thus, intravenous continuous infusions rather than intravenous boluses of antihypertensive medications should be the preferable mode of initial treatment of children with hypertensive emergency.
Identifiants
pubmed: 30276533
doi: 10.1007/s00467-018-4092-2
pii: 10.1007/s00467-018-4092-2
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2523-2537Références
Can J Ophthalmol. 2007 Jun;42(3):486
pubmed: 17508058
Korean J Pediatr. 2017 Aug;60(8):266-271
pubmed: 29042869
Crit Care. 2003 Oct;7(5):374-84
pubmed: 12974970
BMC Pediatr. 2012 Dec 31;12:200
pubmed: 23272766
Am J Hypertens. 2004 Sep;17(9):852-60
pubmed: 15363831
J Pediatr Surg. 2017 Oct;52(10):1633-1636
pubmed: 28711167
Clin Ther. 2003 Jan;25(1):1-18
pubmed: 12637109
Am J Hypertens. 2002 Jan;15(1 Pt 1):78-84
pubmed: 11824865
J Thorac Cardiovasc Surg. 1998 Apr;115(4):890-7
pubmed: 9576226
Circ Res. 2000 Jun 23;86(12):1266-72
pubmed: 10864918
Int J Nephrol. 2012;2012:420247
pubmed: 22577545
Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-76
pubmed: 15286277
Pediatr Neurol. 2001 May;24(5):361-4
pubmed: 11516610
World J Nephrol. 2017 Jan 6;6(1):41-44
pubmed: 28101450
J Pathol. 2000 Oct;192(2):135-9
pubmed: 11004688
Hypertension. 2000 Jan;35(1 Pt 2):193-201
pubmed: 10642297
Arch Dis Child. 1976 Dec;51(12):951-6
pubmed: 1015848
Circ Res. 1999 Apr 2;84(6):695-703
pubmed: 10189357
Am J Med. 1990 Apr;88(4):325-31
pubmed: 2327419
J Hum Hypertens. 2013 Jun;27(6):368-73
pubmed: 23254594
Cardiol Rev. 2010 Mar-Apr;18(2):102-7
pubmed: 20160537
Pediatr Emerg Care. 2005 May;21(5):322-4
pubmed: 15874816
Arch Dis Child. 2012 Mar;97(3):200-5
pubmed: 22241908
Circulation. 2004 Jun 8;109(22):2792-800
pubmed: 15159288
J Am Soc Nephrol. 1998 Jan;9(1):133-42
pubmed: 9440098
J Pediatr. 1977 May;90(5):813-9
pubmed: 323442
Acta Paediatr. 1962 Sep;51:575-84
pubmed: 13931090
Br J Radiol. 2012 Dec;85(1020):1566-75
pubmed: 23175479
J Pediatr. 1975 Nov;87(5):799-802
pubmed: 1185353
J Neonatal Perinatal Med. 2013;6(3):267-72
pubmed: 24246601
Pediatr Clin North Am. 1978 Feb;25(1):99-110
pubmed: 628572
CNS Spectr. 2007 Jan;12(1):35-42
pubmed: 17192762
J Biol Chem. 1994 Apr 15;269(15):11628-33
pubmed: 7512570
J Hum Hypertens. 2000 Aug;14(8):485-8
pubmed: 10962515
Arch Dis Child. 1967 Feb;42(221):34-9
pubmed: 6019466
Eur J Pediatr. 1984 Dec;143(2):87-91
pubmed: 6519117
Cardiol Rev. 2009 Jul-Aug;17(4):159-64
pubmed: 19525677
J Forensic Sci. 2009 Nov;54(6):1485-7
pubmed: 19878416
Curr Hypertens Rep. 2014 Apr;16(4):425
pubmed: 24522943
J Clin Hypertens (Greenwich). 2012 Apr;14(4):269-70
pubmed: 22458752
Clin Pediatr (Phila). 1979 Nov;18(11):661-3, 666-7, 671
pubmed: 498689
Hypertens Res. 2008 Mar;31(3):479-83
pubmed: 18497467
West J Emerg Med. 2012 Dec;13(6):529-34
pubmed: 23359839
Arch Dis Child. 2017 Dec;102(12):1176-1179
pubmed: 28739634
Am J Hypertens. 2013 Mar;26(3):351-6
pubmed: 23382485
Neuroradiol J. 2015 Dec;28(6):638-43
pubmed: 26515749
Pediatrics. 1986 Nov;78(5):861-5
pubmed: 3763300
Am J Hypertens. 2001 Nov;14(11 Pt 1):1154-67
pubmed: 11724216
Hypertension. 2003 Dec;42(6):1206-52
pubmed: 14656957
J Am Soc Nephrol. 2004 Aug;15(8):1983-92
pubmed: 15284284
PLoS One. 2014 Jun 16;9(6):e99599
pubmed: 24932702
Pediatr Nephrol. 2012 May;27(5):741-51
pubmed: 21773822
Pediatr Crit Care Med. 2011 Jan;12(1):28-32
pubmed: 20495503
Clin Exp Hypertens A. 1986;8(4-5):829-39
pubmed: 3530557
Indian J Nephrol. 2014 Jan;24(1):28-34
pubmed: 24574628
J Pediatr. 2001 Jul;139(1):38-43
pubmed: 11445792
Clin Hypertens. 2016 Apr 18;22:10
pubmed: 27092268
J Clin Hypertens (Greenwich). 2010 Nov;12(11):850-5
pubmed: 21054771
Am J Hypertens. 2001 Aug;14(8 Pt 1):823-8
pubmed: 11497201
J Pediatr Ophthalmol Strabismus. 2013 Jul-Aug;50(4):222-8
pubmed: 23521027
Pediatr Neurol. 2006 Jan;34(1):72-5
pubmed: 16376285
Prog Biophys Mol Biol. 2004 Feb-Apr;84(2-3):301-19
pubmed: 14769441
J Hypertens. 2016 Oct;34(10):1887-920
pubmed: 27467768
Hypertension. 2011 Feb;57(2):132-40
pubmed: 21149826
N Engl J Med. 1992 Sep 10;327(11):776-81
pubmed: 1501654
Clin Res Cardiol. 2013 Aug;102(8):593-8
pubmed: 23625037
J Child Neurol. 1995 May;10(3):236-9
pubmed: 7642896
J Hum Hypertens. 2002 May;16(5):333-6
pubmed: 12082494
Pediatrics. 2017 Sep;140(3):null
pubmed: 28827377
J Pediatr Ophthalmol Strabismus. 1992 Sep-Oct;29(5):287-9
pubmed: 1432515
Arch Neurol. 2008 Feb;65(2):205-10
pubmed: 18268188
J Pediatr. 2001 Jul;139(1):34-7
pubmed: 11445791
Clin Hemorheol Microcirc. 2015;61(3):513-22
pubmed: 25536916
J Clin Hypertens (Greenwich). 2007 May;9(5):399-405
pubmed: 17485976
J Am Soc Nephrol. 1991 Aug;2(2 Suppl 1):S37-44
pubmed: 1932642
J Pediatr. 2007 Jun;150(6):640-4, 644.e1
pubmed: 17517252
Pediatr Nephrol. 2000 May;14(5):422-7
pubmed: 10805473
Arch Dis Child. 1992 Sep;67(9):1089-92
pubmed: 1417052
J Assoc Physicians India. 2010 Apr;58:221-4
pubmed: 21046874
Radiology. 2000 Nov;217(2):371-6
pubmed: 11058630
Fam Pract. 2004 Aug;21(4):420-4
pubmed: 15249531
J Pediatr. 1976 Nov;89(5):802-5
pubmed: 978330
Lancet. 2000 Jul 29;356(9227):411-7
pubmed: 10972386
Kidney Int. 1999 Jun;55(6):2457-66
pubmed: 10354295
Hypertension. 2004 Sep;44(3):248-52
pubmed: 15262903
Platelets. 2014;25(6):423-6
pubmed: 24102343
J Thorac Cardiovasc Surg. 2008 Aug;136(2):321-8
pubmed: 18692637
Curr Opin Pediatr. 2005 Apr;17(2):210-4
pubmed: 15800414
Pediatr Nephrol. 2012 Jun;27(6):1037-40
pubmed: 22366877
Pediatr Nephrol. 1998 Jan;12(1):40-2
pubmed: 9502566
Pediatr Nephrol. 2009 Jun;24(6):1101-12
pubmed: 18839219
Pediatrics. 2001 Jan;107(1):185-6
pubmed: 11134458
Hypertension. 1995 Apr;25(4 Pt 1):570-80
pubmed: 7721400
Hypertension. 1999 Jul;34(1):118-25
pubmed: 10406834
Ophthalmology. 2005 Feb;112(2):e7-e11
pubmed: 15691546
Pediatr Nephrol. 2007 Nov;22(11):1921-9
pubmed: 17694337
J Pediatr. 1990 Oct;117(4):664-7
pubmed: 2170612
J Hypertens. 1998 May;16(5):635-43
pubmed: 9797175
Pediatr Cardiol. 2017 Jan;38(1):155-161
pubmed: 27826711
J Emerg Med. 2012 Jun;42(6):e141-5
pubmed: 21903352
BMC Anesthesiol. 2008 Oct 06;8:6
pubmed: 18837982
Am J Transplant. 2003 Mar;3(3):324-7
pubmed: 12614289
Pediatr Crit Care Med. 2003 Jul;4(3):327-32
pubmed: 12831415
Curr Hypertens Rep. 2014 Jul;16(7):448
pubmed: 24852830
Pediatrics. 2014 May;133(5):e1392-5
pubmed: 24777213
J Pediatr. 1986 Sep;109(3):538-42
pubmed: 3746549