Author/Editor		Marčun-Varda, Nataša
Title		Diagnosticiranje arterijske hipertenzije pri otroku in mladostniku
Translated title		Diagnostic evaluation of the child and adolescent with hypertension
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 19, št. 3
Publication year		2012
Volume		str. 276-285
Language		slo
Abstract		In the article the diagnostic evaluation of children and adolescents with hypertension is briefly reviewed. These children have to be actively sought, as they often have no symptoms. When persistently elevated blood pressure has been confirmed, diagnostic evaluation should be performed, with investigations focused on a search for the secondary cause of hypertension, on assessment of associated comorbidities, target organ damage, additional cardiovascular risk factors, and on estimation of the total cardiovascular risk of the individual patient. All speps in the diagnostic procedure are important when the decision is made to initiate appropriate treatment. The selection of necessary investigations to find the cause of hypertension should take into account the age of the child, level of blood pressure, clinical signs and symptoms and family history. A careful history, physical examination and focused investigations will identify the cause in most cases, without the need for extensive diagnostic evaluation.
Summary		V članku na kratko predstavljamo diagnostično obravnavo otrok in mladostnikov z arterijsko hipertenzijo. Te otroke moramo iskati aktivno, saj pogosto nimajo simptomov bolezni. Ko potrdimo trajno zvišane vrednosti krvnega tlaka, pristopimo k diagnostični obravnavi, ki je usmerjena k iskanju sekundarnega vzroka hipertenzije, ugotavljanju pridruženih bolezni, oceni poškodbe hipertenzivnih tarčnih organov, določitvi ostalih srčno-žilnih dejavnikov tveganja in oceni skupnega srčno-žilnega tveganja pri posameznem bolniku. Ko se odločamo o uvedbi ustreznega zdravljenja, so pomembne vse navedene stopnje diagnostičnega postopka. Pri izbiri potrebnih preiskav za opredelitev vzroka upoštevamo otrokovo starost, višino krvnega tlaka, klinične znake in simptome ter družinsko anamnezo. Z natančno anamnezo, s kliničnim pregledom in z usmerjenimi preiskavami v večini primerov ugotovimo vzrok brez potrebe po razširjenem diagnosticiranju.
Descriptors		HYPERTENSION CHILD