Antihypertensive therapy in children: differences in medical approach between the United States and Europe.

Abstract:

:Similarly to a series of chronic diseases, essential arterial hypertension (HTN) may be manifested during childhood as a blood pressure (BP) reading which repeatedly rises above the 95(th) percentile of population-specific standards. Since BP tends to track along the same percentiles throughout life, children with higher BPs are more likely to become hypertensive adults. When healthy measures aimed at reducing BP (i.e. body weight reduction, aerobic physical exercise, low sodium intake) have failed, pharmacological treatment is usually required. This paper aims to undertake a review of antihypertensive pharmacological therapy in children, examining the drugs used in chronic treatment as well as those administered to treat hypertensive crisis (i.e. a BP major than 99(th) percentile of paediatric normograms). Moreover, several important differences registered in the therapeutic approach to paediatric HTN between US and European Guidelines will be underlined.

journal_name

Curr Med Chem

authors

Bassareo PP,Bassareo V,Iacovidou N,Mercuro G

doi

10.2174/0929867321666140304093848

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

3121-31

issue

27

eissn

0929-8673

issn

1875-533X

pii

CMC-EPUB-59454

journal_volume

21

pub_type

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