Investigation of the factors influencing primary hypertension in childhood
Journal Title: Ege Tıp Dergisi - Year 2018, Vol 57, Issue 1
Abstract
Aim: Primary hypertension is the most important risk factor for chronic kidney disease in adulthood. The genesis of essential hypertension is likely to be multifactorial. The aim of this study is to investigate the causing factors of primary hypertension detected by ambulatory blood pressure monitoring in children. Materials and Methods: Fifty-six patients who had blood pressure higher than 90 percentile during the healthy children follow-up and 27 healthy children with the normal blood pressure were included in the study. Twenty-four hour blood pressure measurements with the blood pressure monitor were recorded as the day-night mean blood pressure, the blood pressure loads and the dipper-non-dipper characteristics. Plasma renin levels, serum aldosterone, nitric oxide and endothelin levels and amounts of sodium and potassium excretion in the 24 hour urine and were investigated in all patients and the control group. Results: Laboratory evaluations of the patients showed that the patient group has higher mean levels of plasma renin, lower mean levels of blood endothelin and mean levels of urinary sodium excretion than the control group. Conclusion: In the pathogenesis of childhood primary hypertension and white coat hypertension, which were seen in the half of the children diagnosed as primary hypertension, plasma renin and urinary sodium excretion had important roles.
Authors and Affiliations
İlknur Girişgen, Ferah Sönmez
Keywords
Related Articles
- EP ID EP456422
- DOI -
- Views 85
- Downloads 0
Akut infantil hemorajik ödemli bir olgu
Akut infantil hemorajik ödem (AİHÖ) genellikle 6-24 ay arasında görülen ve deriye sınırlı olan bir lökositoklastik vaskülit tablosudur. Hastalar ödem, ateş ve purpurik döküntü ile başvurmaktadır. Yaklaşık 2-4 hafta kadar...
Correlation of mid-trimester homocysteine, vitamin B12 and folate levels with adverse pregnancy outcomes: A clinical study
Aim: The aim of this study is to determine if maternal serum levels of folate, vitamin B12 and homocysteine at 20-26 weeks of gestation are associated with subsequent adverse pregnancy outcomes. Materials and Methods: Th...
Anaesthesia in ophthalmologic surgery
Many anesthetic techniques are available in ocular surgery for the anestesiologists.Currently general anesthesia includes basic products (intravenous and inhalation anesthetics, opioids, and neuromuscular blockers) but l...
Pseudomonas aeruginosa as a cause of septic arthritis after a sewing needle injury
We report the case of 12 years old healthy boy with septic arthritis after a sewing needle injury on his knee. Radiological examination revealed a metallic foreign body in the medial femoral condyle. The case was diagnos...
The effect of ovulation induction with clomiphene citrate on serum leptin levels in polycystic ovary syndrome
Aim: We aimed to assess the effect of ovulation induction with clomiphene citrate on serum leptin levels in infertile women with polycystic ovary syndrome (PCOS). Materials and Methods: Serum leptin levels were evaluated...