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Long-Term Control of Ambulatory Hypertension in Children: Improving With Time But Still Not Achieving New Blood Pressure Goals

La reanudación del Diplomado  Atención al Paciente Hipertenso se efectuará  el día viernes 4 de Septiembre, a las 9 am.  y que se efectuará, como está programado,  en el Anfiteatro del Hospital Calixto García. La coordinadora de este módulo de " HTA y cerebro" es la Profesora Dra.  Yamilé Valdés   con la que  puden comunicarse  por: 

Teléfono  7838 2205    o  por Email:  yamile.valdes@infomed.sld.cu

Long-Term Control of Ambulatory Hypertension in Children: Improving With Time But Still Not Achieving New Blood Pressure Goals

ComentadoPor: Tomáš Seeman y Jiri Gilík.  American Journal of Hypertension, March, 2013, Volume 26, Issue 7 Pp. 939-945.

Treatment of hypertension (HT) is of great important for prevention of cardiovascular and renal diseases; patients with uncontrolled HT have higher prevalence of hypertensive target organ damage such as left ventricular hypertrophy, cardiovascular morbidity and mortality, and chronic kidney diseases (CKDs) than patients with controlled HT.1–3 In adults, the control of HT achieved by antihypertensive drugs is often inadequate.  Short-term therapy can decrease blood pressure (BP) to less than the 95th percentile in only about 50% of children. The aim of our study was to investigate the long-term control of hypertension (HT) in children using ambulatory BP monitoring (ABPM).   This first pediatric study focusing on long-term control of HT using ABPM showed that long-term control of HT is better than short-term control, but still only one-third of children achieve the new BP goals. The low control of HT might be improved by more intensive therapy.