What are the characteristics of pediatric hypertension care?

Characteristics of pediatric hypertension care:

  1. Non-drug treatment: The significance of non-drug treatment for hypertension in children is even greater than that in adults. This mainly includes:
  • Reducing obesity: Control excessive calorie intake and promote a balanced diet, especially persuading parents to adopt a balanced diet.
  • Increasing activity: Pay special attention to increasing outdoor activity.
  • Cultivating a healthy psychological state and good living and learning habits: Children and adolescents should avoid smoking and drinking, and schools and families should not give them excessive study burdens.
  1. Drug treatment: The treatment of primary hypertension in children and adolescents has always been a controversial issue, mainly because of the concern about the impact of drug side effects on children’s growth and development and quality of life. However, some children with hypertension still need medication to control it, mainly considering:
  • Obvious diastolic hypertension, suggesting use when ≥90mmHg.
  • Evidence of target organ damage.
  • Severe symptoms caused by hypertension.
  • Choose drugs with minimal side effects and acceptable to children, such as diuretics or β-blockers.

What are the characteristics of elderly patients with hypertension?

pediatric hypertension care
pediatric hypertension care

Currently, increased blood pressure in the elderly is no longer considered a natural physiological change associated with aging. The World Health Organization defines hypertension in individuals aged 60 and above as a systolic pressure greater than 160mmHg and a diastolic pressure greater than 90mmHg. The prevalence of elderly hypertension ranges from 10% to 20%. The treatment and health care characteristics include weight loss, smoking cessation, alcohol limitation, dietary control, and medication.

  1. Effectiveness in reducing systolic pressure: Medications should effectively lower blood pressure to improve clinical outcomes.
  2. Maintaining quality of life: Treatment should not compromise the patient’s lifestyle or daily activities.
  3. Patient convenience: Medications should be easy for patients to use and adhere to.

Generally, thiazide diuretics, calcium channel blockers, and angiotensin-converting enzyme (ACE) inhibitors are preferred for elderly patients with hypertension. These medications have been proven to be effective in reducing blood pressure and minimizing complications while preserving patients’ quality of life. It is essential to consult a healthcare professional for personalized medication recommendations and monitoring.

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