Çocuklarda ağır hipertansiyona yaklaşım

Hipertansif kriz olarak da adlandırılan ciddi hipertansiyon (HT) kan basıncının akut olarak uç organ hasarına neden olabilecek düzeyde yükselmesidir. Çocukluk çağında sık olmamakla birlikte potansiyel olarak yaşamı tehdit edici medikal bir acildir. Hipertansif kriz klasik olarak santral sinir sistemi (SSS), kalp, göz ve böbrek gibi uç organ tutulumun olup olmamasına göre hipertansif öncelikli durum ve hipertansif acil olmak üzere ikiye ayrılır. Kan basıncında hedef organ hasarının eşlik etmediği akut ciddi yükselme hipertansif öncelikli durum (aciliyet), hedef organ hasarı veya ciddi semptomların eşlik ettiği akut ciddi yükselme ise hipertansif acil olarak tanımlanır. (Güncel Pediatri 2011; 9: 133-6)

Approach to severe hypertension in children

Severe symptomatic hypertension which is also called hypertensive crisis is an acute elevation in blood pressure to a level that has the potential to cause end-organ damage. Although not common in childhood, it is a life-threatening medical emergency. Hypertensive crises are classically distinguished into hypertensive urgency and hypertensive emergency depending on end-organ involvement including central nervous system (CNS), heart, eye, and kidney. A severe elevation in blood pressure without evidence of acute target organ damage describes hypertensive urgency. Hypertensive emergency is defined as severe hypertension complicated with severe symptoms or acute target organ dysfunction. (Journal of Current Pediatrics 2011; 9: 133-6)

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