Neonatal Hypertension

Flynn , Joseph T.

Article Details

Neonatal Hypertension

Authors:

Flynn , Joseph T.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2010 vol.58 Issue 3, pp.149-155

Document Type:

Article

Publication Date:

7/2010

Document Language:

English

Document ID (Org No.):

19895

Frequency:

Quarterly

pISSN:

00239852

Descriptors:

Abstract:

 La pression artérielle chez le nouveauné dépend d’une multitude de facteurs dont l’âge gestationnel, l’âge postnatal et le poids de naissance. L’incidence de l’hypertension chez le nouveau-né varie de 0,2 à 3% et peut être plus élevée chez les prématurés, chez ceux qui ont subi un cathétérisme artériel ombilical ou souffrant d’une maladie pulmonaire chronique. Une évaluation diagnostique soigneuse devrait mener à l’identification de la cause sous-jacente de l’hypertension chez la plupart des nourrissons. Le choix thérapeutique devrait être adapté à la sévérité de l’hypertension et pourrait inclure des médicaments par voie orale et/ou intraveineuse. L’hypertension disparaîtra chez la plupart des nourrissons avec le temps, mais pourra persister chez un petit nombre tout au long de l’enfance. Cette revue va se concentrer sur le diagnostic différentiel de l’hypertension chez le nouveau- né, l’évaluation diagnostique optimale et le traitement.

 Blood pressure (BP) in neonates depends on a variety of factors, including gestational age, postnatal age and birth weight. The incidence of hypertension in neonates ranges from 0.2 to 3%, and may be higher in premature infants and those who have undergone umbilical arterial catheterization, or who have chronic lung disease. A careful diagnostic evaluation should lead to determination of the underlying cause of hypertension in most infants. Treatment decisions should be tailored to the severity of the hypertension, and may include intravenous and/or oral therapy. Hypertension will resolve in most infants over time, although a small number may have persistent BP elevation throughout childhood. This review will focus on the differential diagnosis of hypertension in the neonate, the optimal diagnostic evaluation, and therapy.

Article Details

Neonatal Hypertension

Authors:

Flynn , Joseph T.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2010 vol.58 Issue 3, pp.149-155

Document Type:

Article

Publication Date:

7/2010

Document Language:

English

Document ID (Org No.):

19895

Frequency:

Quarterly

pISSN:

00239852

Descriptors:

BLOOD PRESSURE

BLOOD COAGULATION

HEREDITARY DISEASES

INFANTS

DRUGS

USA

Issues

Article Details

Neonatal Hypertension

Authors: Flynn , Joseph T.

Publisher: Lebanese Order of Physicians : Scientific Committee

Main Topics: Medicine

Journal: Lebanese Medical Journal 2010 vol.58 Issue 3, pp.149-155

Document Type: Article

Publication Date: 7/2010

Document Language: English

Document ID (Org No.): 19895

Frequency: Quarterly

pISSN: 00239852

Descriptors:

BLOOD PRESSURE

BLOOD COAGULATION

HEREDITARY DISEASES

INFANTS

DRUGS

USA

Issues

Authors:

Flynn , Joseph T.

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2010 vol.58 Issue 3, pp.149-155

Document Type:

Article

Publication Date:

7/2010

Document Language:

English

Document ID (Org No.):

19895

Frequency:

Quarterly

pISSN:

00239852