Abstract:
BACKGROUND:The aim was to determine the proportions and correlates of essential hypertension among children in a tertiary pediatric hypertension clinic. METHODS:We evaluated 423 consecutive children and collected demographic and clinical history by retrospective chart review. RESULTS:We identified 275 (65%) hypertensive children (blood pressure >95th percentile per the "Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents") from 423 children referred to the clinic for history of elevated blood pressure. The remainder of the patients had normotension (11%), white coat hypertension (11%), prehypertension (10%), and pending diagnosis (3%). Among the 275 hypertensive children, 43% (n = 119; boys = 56%; median age = 12 years; range = 3-17 years) had essential hypertension and 57% (n = 156; boys = 66%; median age = 9 years; range = 0.08-19 years) had secondary hypertension. When compared with those with secondary hypertension, those with essential hypertension had a significantly older age at diagnosis (P = 0.0002), stronger family history of hypertension (94% vs. 68%; P < 0.0001), and lower prevalence of preterm birth (20% vs. 46%; P < 0.001). There was a bimodal distribution of age of diagnosis in those with secondary hypertension. CONCLUSIONS:The phenotype of essential hypertension can present as early as 3 years of age and is the predominant form of hypertension in children after age of 6 years. Among children with hypertension, those with essential hypertension present at an older age, have a stronger family history of hypertension, and have lower prevalence of preterm birth.
journal_name
Am J Hypertensjournal_title
American journal of hypertensionauthors
Gupta-Malhotra M,Banker A,Shete S,Hashmi SS,Tyson JE,Barratt MS,Hecht JT,Milewicz DM,Boerwinkle Edoi
10.1093/ajh/hpu083subject
Has Abstractpub_date
2015-01-01 00:00:00pages
73-80issue
1eissn
0895-7061issn
1941-7225pii
hpu083journal_volume
28pub_type
杂志文章abstract:BACKGROUND:Matrix Gla protein (MGP) is a vascular calcification inhibitor dependent upon vitamin K for activation. Evidence suggests that elevated plasma inactive MGP levels (desphospho-uncarboxylated MGP, dp-ucMGP; indicating poorer vascular vitamin K status) are associated with greater cardiovascular disease (CVD) ri...
journal_title:American journal of hypertension
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journal_title:American journal of hypertension
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journal_title:American journal of hypertension
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更新日期:2007-04-01 00:00:00
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journal_title:American journal of hypertension
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journal_title:American journal of hypertension
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更新日期:1994-11-01 00:00:00
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journal_title:American journal of hypertension
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更新日期:2014-11-01 00:00:00
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更新日期:2003-08-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 杂志文章,随机对照试验
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更新日期:2008-06-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 临床试验,杂志文章
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journal_title:American journal of hypertension
pub_type: 临床试验,杂志文章
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更新日期:1996-03-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 杂志文章,多中心研究
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更新日期:2020-04-01 00:00:00
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更新日期:2008-08-01 00:00:00
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journal_title:American journal of hypertension
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更新日期:2019-09-24 00:00:00
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更新日期:1994-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-10-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1994-01-01 00:00:00
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journal_title:American journal of hypertension
pub_type: 杂志文章
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更新日期:2000-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-05-01 00:00:00