HTN Special Pops Flashcards
Primary hypertension
– no identifiable cause
Secondary hypertension
– an underlying cause is identified
Goals: 1.
Determine if its primary or secondary.
Goal 2
If secondary, identify underlying cause
Goal 3
. Identify other co-morbid factors for CVD, or diseases associated with an increased risk for CVD
Normal BP under 13
<90th precentile
Elevated BP under 13
<90th precentitile to <95th precenitle, or 120/80 whichever is lower
Stage 1 under 13
Systolic BP >95th precentile to <95th precntile + 12 mm Hg, or 130/80 to 139/89 mmHg, (whichever is lower)
Stage 2 under 13
Systolic and diastolic BP >95th precentile +12 mmHg or >140/90 mmHg (whichever is lower)
Normal BP over 13
<120 and <80
Elevated BP over 13
120 to 129
<80
Stage 1 over 13
130/80 to 139/89
Stage 2 Over 13
> 140/90
Peds Initiate treatment in following examples
Symptomatic HTN Stage 2 HTN Stage 1 HTN without evidence of end-organ damage, that persists despite 6 months of non-pharm therapy Hypertensive end-organ damage Any stage of HTN or high BP with CKD Any stage of HTN with DM
Drugs in children’s and adolecents
Ace inhibitors Angiotensin-receptor blockers (ARBs) Thiazide diuretics Calcium channel blockers Beta blockers
Choice of drug for peds
data comparing antihypertensive drugs in children are lacking and hence it is not possible to make an evidence-based choice
Recommendations based upon the underlying cause of HTN, concurrent disorders, and the preference and experience of the responsible provider