Arterielle Hypertonie im Kindes- und Jugendalter: Diagnostik und Therapie

Translated title of the contribution: Arterial hypertension in children and adolescents. Diagnosis and therapy

F. Wippermann, R. Oberhoffer, A. Hager

Research output: Contribution to journalArticlepeer-review

Abstract

Physical inactivity and overweight are main reasons for the development of cardiovascular diseases especially arterial hypertension, which can clinically manifest itself in childhood or adolescence. Early changes in structure and function of the cardiovascular system can be diagnosed, such as increase of Intima media thickness (IMT), which is indicative for subclinical atherosclerosis. Regular blood pressure measurements are recommended from childhood on. If the child or adolescent is hypertensive, secondary hypertension must be excluded. First step in antihypertensive therapy are lifestyle interventions like physical activity and balanced diet. Drug therapy starts with ACE inhibitors, AT1 receptor antagonists, calcium channel blockers or beta blockers; if necessary in combination. Physical activity is a protective factor for the cardiovascular system, hence the WHO and other working groups release recommendations to extend physical activity and reduce screen time.

Translated title of the contributionArterial hypertension in children and adolescents. Diagnosis and therapy
Original languageGerman
Pages (from-to)47-63
Number of pages17
JournalPadiatrische Praxis
Volume85
Issue number1
StatePublished - Dec 2015
Externally publishedYes

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