Kyle D Hope1, Justin P Zachariah2. 1. Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, 6651 Main Street Legacy Tower 20th floor, Houston, TX, 77030, USA. 2. Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, 6651 Main Street Legacy Tower 20th floor, Houston, TX, 77030, USA. Justinzachariah@yahoo.com.
Abstract
PURPOSE OF REVIEW: Pediatric hypertension is relatively common and associated with future adult hypertension. Elevated blood pressure in youth predicts future adult cardiovascular disease and blood pressure control can prevent progression of pediatric kidney disease. However, pediatric blood pressure is highly variable within a given child and among children in a population. RECENT FINDINGS: Therefore, modalities to index aggregate and cumulative blood pressure status are of potential benefit in identifying youth in danger of progression from a risk factor of subclinical phenotypic alteration to clinically apparent event. In this review, we advocate for the health risk stratification roles of echocardiographically assessed cardiac remodeling, arterial stiffness assessment, and assessment by ultrasound of arterial thickening in children and adolescents with hypertension.
PURPOSE OF REVIEW: Pediatric hypertension is relatively common and associated with future adult hypertension. Elevated blood pressure in youth predicts future adult cardiovascular disease and blood pressure control can prevent progression of pediatric kidney disease. However, pediatric blood pressure is highly variable within a given child and among children in a population. RECENT FINDINGS: Therefore, modalities to index aggregate and cumulative blood pressure status are of potential benefit in identifying youth in danger of progression from a risk factor of subclinical phenotypic alteration to clinically apparent event. In this review, we advocate for the health risk stratification roles of echocardiographically assessed cardiac remodeling, arterial stiffness assessment, and assessment by ultrasound of arterial thickening in children and adolescents with hypertension.
Entities:
Keywords:
Carotid intimal-medial thickness; Echocardiography; Left atrial dilation; Left ventricular hypertrophy; Pediatric hypertension; Pulse wave velocity; Strain
Authors: S Laurent; P Boutouyrie; R Asmar; I Gautier; B Laloux; L Guize; P Ducimetiere; A Benetos Journal: Hypertension Date: 2001-05 Impact factor: 10.190
Authors: Mieczysław Litwin; Anna Niemirska; Joanna Sladowska; Jolanta Antoniewicz; Joanna Daszkowska; Aldona Wierzbicka; Zbigniew T Wawer; Ryszard Grenda Journal: Pediatr Nephrol Date: 2006-03-25 Impact factor: 3.714
Authors: Jorge R Kizer; Jonathan N Bella; Vittorio Palmieri; Jennifer E Liu; Lyle G Best; Elisa T Lee; Mary J Roman; Richard B Devereux Journal: Am Heart J Date: 2006-02 Impact factor: 4.749
Authors: Jonathan M Sorof; Andrei V Alexandrov; Zsolt Garami; Jennifer L Turner; Robert E Grafe; Dejian Lai; Ronald J Portman Journal: Pediatr Nephrol Date: 2003-07-18 Impact factor: 3.714