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12: Hypertension
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Published:May 2023
Katherine Keith Mamola, MD, FAAP, "Hypertension", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Pediatric hypertension is the persistent elevation of blood pressure (BP) above the 95th percentile, when compared to the BP distribution of healthy children of the same age, sex, and height (Table 12–1) or, for children older than 12 years, BP greater than 130/80 mm Hg. Elevated BP is often an incidental and transient finding in hospitalized patients, as the result of pain, anxiety, or medication side effects. However, acute severe hypertension may be the primary reason for admission. In addition, a previously undiagnosed case of chronic hypertension, severe enough to warrant treatment, may be discovered in a patient...