Document Detail


Essential hypertension in childhood.
MedLine Citation:
PMID:  577536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifteen patients, aged 8 to 17 years, were found to have hpertension and were studied from February 1974 to Decemober 1975. Hypertension was defined as supine diastolic blood pressure repeatedly above 90 mm Hg. Five patients had a family history of hypertension. Extensive diagnostic evaluation performed in all cases failed to show an underlying cause for the hypertension. Patients with target-organ involvement were treated with hydrochlorothiazide; five of them are currently normotensive. Of the remaining nine untreated patients, four became spontaneously normotensive within eight to 14 months of the initial evaluation. These results suggest that extensive studies in children with hypertension may not be necessary in every case if clinical findings meet the critiera for the diagnosis of essential hypertension. These studies might be desirable, however, if target-organ involvement is present.
Authors:
L C Aschinberg; P M Zeis; R A Miller; E G John; L L Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  238     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1977 Jul 
Date Detail:
Created Date:  1977-08-25     Completed Date:  1977-08-25     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  322-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Blood Pressure
Child
Female
Humans
Hydrochlorothiazide / therapeutic use
Hypertension* / diagnosis,  drug therapy,  etiology
Male
Remission, Spontaneous
Renin / blood
Chemical
Reg. No./Substance:
58-93-5/Hydrochlorothiazide; EC 3.4.23.15/Renin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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