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Pediatric Nephrology

Erschienen in:

29.04.2020 | Educational Review

Hypertension and childhood stroke

verfasst von: Juan C. Kupferman, Marc B. Lande, Stella Stabouli, Dimitrios I. Zafeiriou, Steven G. Pavlakis

Erschienen in: Pediatric Nephrology | Ausgabe 4/2021

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Abstract

Cerebrovascular disease (stroke) is one of the ten leading causes of death in children and adolescents. Multiple etiologies, from arteriopathies to prothrombic states, can cause stroke in youth. In adult stroke, hypertension has been shown to be the single most important modifiable risk factor. Although hypertension has not been strongly identified as a risk factor in childhood stroke to date, there is preliminary evidence that suggests that hypertension may also be associated with stroke in children. In this review, we summarize the literature that may link hypertension to stroke in the young. We have identified a series of barriers and limitations in the fields of pediatric hypertension and pediatric neurology that might explain why hypertension has been overlooked in childhood stroke. We suggest that hypertension may be a relevant risk factor that, alone or in combination with other multiple factors, contributes to the development of stroke in children. Currently, there are no consensus guidelines for the management of post-stroke hypertension in children. Thus, we recommend that blood pressure be assessed carefully in every child presenting with acute stroke in order to better understand the effects of hypertension in the development and the outcome of childhood stroke. We suggest a treatment algorithm to help practitioners manage hypertension after a stroke.

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Titel: Hypertension and childhood stroke
verfasst von: Juan C. Kupferman
Marc B. Lande
Stella Stabouli
Dimitrios I. Zafeiriou
Steven G. Pavlakis
Publikationsdatum: 29.04.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 4/2021
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-020-04550-2

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Hypertension and childhood stroke

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