Are the Classical Symptoms of Hypertension in Children Still Sensitive Enough?

The available literature is scarce on the initial symptoms of arterial hypertension in children. Our study aimed to analyze the initial clinical profile of patients referred to the hospital with suspected hypertension and those diagnosed with hypertension for the first time during a hospitalization...

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Published in:Clinical pediatrics 2024-10, Vol.63 (10), p.1452-1458
Main Authors: Mirecka, Julia, Stańczyk, Małgorzata, Olejniczak, Aleksandra, Zamojska, Justyna, Gruca, Marta, Kowara-Dzik, Karolina, Wosiak, Agnieszka, Szadkowska, Agnieszka, Smolewska, Elżbieta, Tkaczyk, Marcin
Format: Article
Language:English
Subjects:
Adolescent
Blood pressure
Child
Child, Preschool
Children
Female
Headache - diagnosis
Headache - etiology
Humans
Hypertension
Hypertension - diagnosis
Hypertension - epidemiology
Male
Medical records
Patients
Retrospective Studies
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Summary:The available literature is scarce on the initial symptoms of arterial hypertension in children. Our study aimed to analyze the initial clinical profile of patients referred to the hospital with suspected hypertension and those diagnosed with hypertension for the first time during a hospitalization for other reasons. This study was a retrospective analysis of medical records in 471 patients. More than half of the patients showed no symptoms. The most common symptom reported was a headache—28% (132) of patients. The diagnosis of elevated blood pressure or hypertension was more frequent in asymptomatic patients (P = 0.001). Headaches were seen more often in healthy patients than in patients with hypertension. Newly diagnosed hypertension is mainly diagnosed in asymptomatic children. Moreover, the symptoms previously described in the literature as the most common did not prove to be predictive of hypertension in our study.
ISSN:0009-9228
1938-2707
1938-2707
DOI:10.1177/00099228231225318