![]() Aim to gradually reduce BP to the patient's estimated 95 th centile.Intravenous therapy discuss with renal team and retrieval/ICU team.Commence 0.25–0.5 mg/kg/day (max 20 mg) and titrate up as required to a maximum of 3 mg/kg/day (max 120 mg).Hypertensive Urgency If medically stable, consider short acting oral agents while investigating cause Discuss with renal team and retrieval/ICU team.>95 th centile + 30 mmHg associated with encephalopathy,Įg headache vomiting, vision changes and neurological symptoms (facial nerve palsy, lethargy, seizures, coma) +/- target-end organ damageĮmergency management of severe hypertension Without symptoms/signs of target end organ damage (See Examination) Secondary hypertension is more common in younger children (95 th centile + 30 mmHg without symptoms/signs of target end organ damage (See Examination).Primary/essential hypertension accounts for the majority of hypertension in children >6 years old and is generally associated with obesity or a family history of hypertension.Hypertension in childhood is a key predictor of risk for hypertension, cardiovascular disease and end organ damage in adulthood.This guideline will focus on the paediatric population aged 1–17 years (not infants). ![]() ![]() ![]() Where possible, abnormal machine BP measurement should be confirmed, preferably with a manual BP, ensuring appropriately sized cuff is used for accurate measurement.Blood pressure should be measured annually in healthy children.All hypertension in children requires monitoring and follow-up.Hypertension associated with encephalopathy is a medical emergency Severe hypertension requires urgent consultation and management.BP by age and height centile tables Key points ![]()
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