Vnitr Lek 2024, 70(2):126-130 | DOI: 10.36290/vnl.2024.025

How to approach arterial hypertension in adolescents and young adults?

Jitka Mlíková Seidlerová
II. interní klinika FN a LF v Plzni

Arterial hypertension is observed less frequently in adolescents and young adults than in older persons. Although the absolute cardiovascular risk in this age group is low, untreated hypertension is a source of organ damage development and health complications later in life. Therefore, diagnosis and early initiation of treatment is an important part of the management of this population. The cornerstone of diagnosis is the measurement of blood pressure in a healthcare facility and using out-of-office methods of blood pressure measurement. In indicated cases, secondary hypertension must be excluded. We always search for and intervene other cardiovascular risk factors. The basis of treatment is lifestyle modification and pharmacological treatment. Its composition does not differ from older persons, the exception being women of childbearing potential.

Keywords: arterial hypertension, adolescents and young adults, women of child-bearing age.

Accepted: March 26, 2024; Published: April 10, 2024  Show citation

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Mlíková Seidlerová J. How to approach arterial hypertension in adolescents and young adults? Vnitr Lek. 2024;70(2):126-130. doi: 10.36290/vnl.2024.025.
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References

  1. Nguyen T, Lau DC. The obesity epidemic and its impact on hypertension. The Canadian journal of cardiology. 2012;28(3):326-33. Go to original source... Go to PubMed...
  2. Wühl E. Hypertension in childhood obesity. Acta paediatrica (Oslo, Norway: 1992). 2019;108(1):37-43. Go to original source... Go to PubMed...
  3. Garrison RJ, Kannel WB, Stokes J, Castelli WP. Incidence and precursors of hypertension in young adults: The Framingham offspring study. Preventive Medicine. 1987;16(2):235-51. Go to original source... Go to PubMed...
  4. Lurbe E, Agabiti-Rosei E, Cruickshank JK, Dominiczak A, Erdine S, Hirth A, et al. 2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J Hypertens. 2016;34(10):1887-920. Go to original source... Go to PubMed...
  5. de Simone G, Mancusi C, Hanssen H, Genovesi S, Lurbe E, Parati G, et al. Hypertension in children and adolescents. European heart journal. 2022;43(35):3290-301. Go to original source... Go to PubMed...
  6. Cífková R, Bruthans J, Wohlfahrt P, Krajčoviechová A, Šulc P, Jozífová M, et al. 30-year trends in major cardiovascular risk factors in the Czech population, Czech MONICA and Czech post-MONICA, 1985 - 2016/17. PloS one. 2020;15(5):e0232845. Go to original source... Go to PubMed...
  7. Zhang Y, Moran AE. Trends in the Prevalence, Awareness, Treatment, and Control of Hypertension Among Young Adults in the United States, 1999 to 2014. Hypertension. 2017;70(4):736-42. Go to original source... Go to PubMed...
  8. Palatini P, Rosei EA, Avolio A, Bilo G, Casiglia E, Ghiadoni L, et al. Isolated systolic hypertension in the young: a position paper endorsed by the European Society of Hypertension. J Hypertens. 2018;36(6):1222-36. Go to original source... Go to PubMed...
  9. Kanegae H, Oikawa T, Okawara Y, Hoshide S, Kario K. Which blood pressure measurement, systolic or diastolic, better predicts future hypertension in normotensive young adults? Journal of clinical hypertension (Greenwich, Conn). 2017;19(6):603-10. Go to original source... Go to PubMed...
  10. Widimsky J, Filipovsky J, Ceral J, Cifkova R, Linhart A, Petrak O, et al. Diagnostické a léčebné postupy u arteriální hypertenze - verze 2022. Doporučení České společnosti pro hypertenzi. Hypertenze Kardiovaskulární Prevence. 2022;supplementum:25.




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