Childhood hypertension: current medical management
Simonetti, G.D.; Fossali, E.; Ramelli, G.P.; Bianchetti, M.G.
Revue Medicale Suisse 1(19): 1307-1310
2005
ISSN/ISBN: 1660-9379 PMID: 15962631 Document Number: 588173
Pediatricians currently have improved understanding of how to best manage childhood hypertension. The goal of antihypertensive drug therapy in children with secondary hypertension is currently to reduce the blood pressure below the 90th centile. Most authors currently favor therapy with a blocker of the renin-angiotensin system (a converting enzyme inhibitor or an angiotensin II antagonist) or a calcium channel blocker. In patients with kidney disease and diabetes mellitus we generally advise therapy of hypertension with a blocker of the renin-angiotensin system especially in the presence of pathological proteinuria.