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Scripta Scientifica Medica

Symptomatic arterial hypertension in children - clinical observation

L. Marinov, Dimitrichka Bliznakova, P. Shivachev


The Symptomatic Arterial Hypertension (SAH) is found rarely compared to the essential. Its incidence is approximately 15 -20% of the whole frequency of the hypertension conditions. From age aspect, as lower is the age on which the high arterial blood pressure is observed, the probability that it is SAH is higher. SAH is a symptom of another already existing disease, which causes the rising of the blood pressure. Most often these are inherited or acquired diseases of the urinary system, of the cardiovascular system, of the endocrine and of the nerve system. The aim of this study is to specify the frequency and etiological belonging of SAH in hospitalized children. From the 134 children with high blood pressure, hospitalized for eight years, in 14.18% we found that this is a SAH. The highest is the number of children with renal parenchimal disease - 14, with renal polycystosis - 3, with stenosis of the renal arteries - 2 and one child with suprarenal tumor. Two of the children with parenchimal disease were in advanced stages, with developed renal insufficiency, and in one of them we had to start haemodialysis. The children with SAH had high levels of blood pressure; some of them were hospitalized after hypertonic crisis, with signs of hypertonic encephalopathy, which were the initial signs of the high blood pressure. SAH, even rare during childhood, is a serious disease, leading to life threatening complications, requiring fast diagnosis and adequate treatment.

Scripta Scientifica Medica 2009; 41(2): 133-134.

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About The Authors

L. Marinov
Medical University of Varna

Dimitrichka Bliznakova
Medical University of Varna

P. Shivachev
Medical University of Varna

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