Pediatr. praxi. 2024;25(3):166-169 | DOI: 10.36290/ped.2024.034
Arterial hypertension is a chronic disease with constantly increasing prevalence in both adult and paediatric patients. The goal of treatment is to normalise the blood pressure values and to prevent or regress organ damage. In primary hypertension treatment, regime measures are the first-line approach. These include increased physical activity, dietary adjustments and weight reduction. In cases of insufficient efficacy, pharmacotherapy is introduced after 6-12 months, initially as monotherapy, eventually in combinations later. Five groups of antihypertensive drugs can be administered in children - angiotensin-converting enzyme inhibitors, AT1 receptor antagonists for angiotensin II, calcium channel blockers, thiazide diuretics and beta-blockers. In children with secondary hypertension, the treatment of the primary disease is predominant and is supported by both non-pharmacological and pharmacological therapeutic options.
Accepted: June 12, 2024; Published: June 14, 2024 Show citation