ABSTRACT

BP values used to dene hypertension in adults are derived from numerous studies associating BP level with cardiovascular sequelae.17 Similar studies have not been performed in children because it takes decades for these events to occur. Consequently, abnormal BP values in children are based on

Epidemiology 777 Definition of hypertension 777 Pathophysiology 778 Technique of measuring blood pressure 783 Clinical manifestations 785 Etiology of hypertension in children 786

Evaluation of a child with hypertension 792 Target organ damage 795 References 797 Review questions 802 Answer key 802

Although secondary hypertension is more common in children than adults, obesity-related “essential” hypertension has become the most common form of pediatric hypertension.