Orthostatic Hypertension in Children: An Update

Yang Hu; Hongfang Jin; Junbao Du

doi:10.3389/fped.2020.00425

Orthostatic Hypertension in Children: An Update

Front Pediatr. 2020 Jul 29:8:425. doi: 10.3389/fped.2020.00425. eCollection 2020.

Authors

Yang Hu^{1

2}, Hongfang Jin¹, Junbao Du^{1

3}

Affiliations

¹ Department of Pediatrics, Peking University First Hospital, Beijing, China.
² Research Unit of Clinical Diagnosis and Treatment of Pediatric Syncope and Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China.
³ Key Laboratory of Cardiovascular Sciences, Ministry of Education, Beijing, China.

Abstract

The concept of orthostatic hypertension in children was first proposed in 2012. The pathogenesis is not clear by now. Orthostatic hypertension is one of the important causes of orthostatic intolerance in children and is related to the development of essential hypertension in the future. It is commonly seen in older children, with dizziness and syncope as their main clinical manifestations. Non-drug therapy is the commonly used treatment strategy, which is effective to improve the orthostatic intolerance symptoms. In this paper, we reviewed the clinical studies on the pathogenesis, clinical characteristics, diagnostic criteria, and treatment of orthostatic hypertension in children, aiming to provide new insights for the future studies on pediatric orthostatic hypertension.

Keywords: diagnosis; orthostatic hypertension; orthostatic intolerance; pathogenesis; pediatrics; treatment.

Publication types

Review