March 2024. Volume 20. Number 1

Can the medical history and/or ambulatory blood pressure monitoring predict secondary hypertension?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Nugent JT, Jiang K, Funaro MC, Saran I, Young C, Ghazi l, et al. Does This Child With High Blood Pressure Have Secondary Hypertension? JAMA. 2023;329(12):1012-21.

Reviewers: Fernández Rodríguez MM1, Blanco Rodríguez C2.
1CS Potes. SERMAS. Madrid. España.
2Pediatra. CS Sanchinarro. Madrid. España.
Correspondence: M.ª Mercedes Fernández Rodríguez. Email: mer763@gmail.com
Reception date: 16/08/2023
Acceptance date: 10/11/2023
Publication date: 10/01/2024

Abstract

Authors ́ conclusions: the clinical risk factors associated with having secondary arterial hypertension were: family history of secondary high blood pressure age of the child ≤6 years, weight ≤10th percentile and a high load on the ambulatory Holter monitor for 24 hours of blood pressure. In this meta-analysis there was no significant difference in the symptoms in children with primary versus secondary hypertension.

Reviewers ́ commentary: the presence of data associated with an increased risk of secondary hypertension may be of particular interest in primary care to select patients in whom further clinical evaluation may be indicated. Potential selection bias and lack of adjustment for other risk factors may limit applicability. Prospective studies with larger sample size and adjustment for other factors associated with hypertension would be necessary.

How to cite this article

Fernández Rodríguez MM, Blanco Rodríguez C. ¿Puede la historia clínica y/o la monitorización ambulatoria de la tensión arterial predecir una hipertensión secundaria? Evid Pediatr. 2024;20:2.

AVC | Critically appraised articles

Nugent JT, Jiang K, Funaro MC, Saran I, Young C, Ghazi l, et al. Does This Child With High Blood Pressure Have Secondary Hypertension? JAMA. 2023;329(12):1012-21.

Reviewers: Fernández Rodríguez MM1, Blanco Rodríguez C2.
1CS Potes. SERMAS. Madrid. España.
2Pediatra. CS Sanchinarro. Madrid. España.
Correspondence: M.ª Mercedes Fernández Rodríguez. Email: mer763@gmail.com
Reception date: 16/08/2023
Acceptance date: 10/11/2023
Publication date: 10/01/2024

How to cite this article

Fernández Rodríguez MM, Blanco Rodríguez C. ¿Puede la historia clínica y/o la monitorización ambulatoria de la tensión arterial predecir una hipertensión secundaria? Evid Pediatr. 2024;20:2.

10/01/2024

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