Ashraf Mohd, Irshad Mohd, Parry Nazir Ahmed
Department of Pediatrics, Govt Medical College, Srinagar, Jammu and Kashmir, 190010, India.
Department of Paediatrics, Govt Medical College Baramulla, Baramulla, Jammu and Kashmir, India.
Clin Hypertens. 2020 Dec 1;26(1):22. doi: 10.1186/s40885-020-00156-w.
Globally hypertension in adults is among the leading preventable cause of premature death, where a graded association from the childhood hypertension is well recognised. With the concurrent rise in obesity and pediatric hypertension (HTN) during the past decade in developed countries, a parallel trend is emerging in developing countries that has a potential for exponential rise in cardiovascular, cerebrovascular and renal tragedies. A cumulative incidence of pediatric HTN in China and India is 50-70 and 23% respectively, is quite disturbing. New guidelines for the detection, evaluation and management of hypertension in children and adolescents published in 2017, where a jump in prevalence of pediatric HTN is observed, rings a call to address this under-attended burning problem; for which a review in pediatric hypertension and its management is warranted.
在全球范围内,成人高血压是可预防的过早死亡的主要原因之一,儿童高血压与之存在的分级关联已得到充分认识。在过去十年中,发达国家肥胖症和儿童高血压(HTN)同时增加,发展中国家也出现了类似趋势,这有可能使心血管、脑血管和肾脏悲剧呈指数级上升。中国和印度儿童HTN的累积发病率分别为50 - 70%和23%,这相当令人不安。2017年发布了关于儿童和青少年高血压检测、评估和管理的新指南,其中观察到儿童HTN患病率跃升,这敲响了警钟,要解决这个未得到充分关注的紧迫问题;因此有必要对儿童高血压及其管理进行综述。