Hypertension in Children and Adolescents儿童和青少年高血压.pptVIP

Pharmacologic Therapy of HTN in Children Indications: Symptomatic hypertension Secondary hypertension Target-organ damage Poor response to non pharmacologic therapy Diabetes mellitus Goal is to reduce BP 95th percentile (90th percentile if concurrent conditions or LVH present) Treat severe symptomatic BP with IV antihypertensives Acceptable antihypertensives in children and adolescents Adrenergic blockers (e.g. labetolol, atenolol, metoprolol) Calcium channel blockers (e.g amlodipine) Vasodilators (e.g Hydralazine, minoxidil ) ACEI/ARB (single or in combination) Diuretics (e.g. HCTZ) Central