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Pediatr Emerg Med Pract. 2019 Mar;16(3):1-16. Epub 2019 Mar 1.

Pediatric hypertension and hypertensive emergencies: recognition and management in the emergency department.

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Associate Professor of Emergency Medicine, Carolinas Medical Center, Atrium Health, Charlotte, NC.


Pediatric hypertension is increasing in incidence, but remains greatly underrecognized, despite its severe long-term health consequences. Often discovered as incidental to another complaint, pediatric patients with hypertension may be asymptomatic but with markedly abnormal blood pressure, or they may have a true hypertensive emergency. This issue provides strategies to ensure that the child with asymptomatic hypertension receives appropriate screening and referrals, and outlines a systematic approach for the evaluation and treatment of the critically ill child who presents with symptoms of severe hypertension.


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