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Management of Hypertensive Crises in Children: A Review of the Recent Literature

Hypertensive emergency is a life-threatening condition associated with severe hypertension and organ damage, such as neurological, renal or cardiac dysfunction. The most recent guidelines on pediatric hypertension, the 2016 European guidelines and the 2017 American guidelines, provide recommendation...

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Autores principales: Bertazza Partigiani, Nicola, Spagnol, Rachele, Di Michele, Laura, Santini, Micaela, Grotto, Benedetta, Sartori, Alex, Zamperetti, Elita, Nosadini, Margherita, Meneghesso, Davide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051430/
https://www.ncbi.nlm.nih.gov/pubmed/35498798
http://dx.doi.org/10.3389/fped.2022.880678
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author Bertazza Partigiani, Nicola
Spagnol, Rachele
Di Michele, Laura
Santini, Micaela
Grotto, Benedetta
Sartori, Alex
Zamperetti, Elita
Nosadini, Margherita
Meneghesso, Davide
author_facet Bertazza Partigiani, Nicola
Spagnol, Rachele
Di Michele, Laura
Santini, Micaela
Grotto, Benedetta
Sartori, Alex
Zamperetti, Elita
Nosadini, Margherita
Meneghesso, Davide
author_sort Bertazza Partigiani, Nicola
collection PubMed
description Hypertensive emergency is a life-threatening condition associated with severe hypertension and organ damage, such as neurological, renal or cardiac dysfunction. The most recent guidelines on pediatric hypertension, the 2016 European guidelines and the 2017 American guidelines, provide recommendations on the management of hypertensive emergencies, however in pediatric age robust literature is lacking and the available evidence often derives from studies conducted in adults. We reviewed PubMed and Cochrane Library from January 2017 to July 2021, using the following search terms: “hypertension” AND “treatment” AND (“emergency” OR “urgency”) to identify the studies. Five studies were analyzed, according to our including criteria. According to the articles reviewed in this work, beta-blockers seem to be safe and effective in hypertensive crises, more than sodium nitroprusside, although limited data are available. Indeed, calcium-channel blockers seem to be effective and safe, in particular the use of clevidipine during the neonatal age, although limited studies are available. However, further studies should be warranted to define a univocal approach to pediatric hypertensive emergencies.
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spelling pubmed-90514302022-04-30 Management of Hypertensive Crises in Children: A Review of the Recent Literature Bertazza Partigiani, Nicola Spagnol, Rachele Di Michele, Laura Santini, Micaela Grotto, Benedetta Sartori, Alex Zamperetti, Elita Nosadini, Margherita Meneghesso, Davide Front Pediatr Pediatrics Hypertensive emergency is a life-threatening condition associated with severe hypertension and organ damage, such as neurological, renal or cardiac dysfunction. The most recent guidelines on pediatric hypertension, the 2016 European guidelines and the 2017 American guidelines, provide recommendations on the management of hypertensive emergencies, however in pediatric age robust literature is lacking and the available evidence often derives from studies conducted in adults. We reviewed PubMed and Cochrane Library from January 2017 to July 2021, using the following search terms: “hypertension” AND “treatment” AND (“emergency” OR “urgency”) to identify the studies. Five studies were analyzed, according to our including criteria. According to the articles reviewed in this work, beta-blockers seem to be safe and effective in hypertensive crises, more than sodium nitroprusside, although limited data are available. Indeed, calcium-channel blockers seem to be effective and safe, in particular the use of clevidipine during the neonatal age, although limited studies are available. However, further studies should be warranted to define a univocal approach to pediatric hypertensive emergencies. Frontiers Media S.A. 2022-04-15 /pmc/articles/PMC9051430/ /pubmed/35498798 http://dx.doi.org/10.3389/fped.2022.880678 Text en Copyright © 2022 Bertazza Partigiani, Spagnol, Di Michele, Santini, Grotto, Sartori, Zamperetti, Nosadini and Meneghesso. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Bertazza Partigiani, Nicola
Spagnol, Rachele
Di Michele, Laura
Santini, Micaela
Grotto, Benedetta
Sartori, Alex
Zamperetti, Elita
Nosadini, Margherita
Meneghesso, Davide
Management of Hypertensive Crises in Children: A Review of the Recent Literature
title Management of Hypertensive Crises in Children: A Review of the Recent Literature
title_full Management of Hypertensive Crises in Children: A Review of the Recent Literature
title_fullStr Management of Hypertensive Crises in Children: A Review of the Recent Literature
title_full_unstemmed Management of Hypertensive Crises in Children: A Review of the Recent Literature
title_short Management of Hypertensive Crises in Children: A Review of the Recent Literature
title_sort management of hypertensive crises in children: a review of the recent literature
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051430/
https://www.ncbi.nlm.nih.gov/pubmed/35498798
http://dx.doi.org/10.3389/fped.2022.880678
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