Many causes are possible a hypertension in children under 10 years of age is mostly organic. Most common cause is a kidney disease. Endocrine disorders such as hyperthyroidism, pheochromocytoma, diseases of the nervous system such as a brain tumor or encephalitis and Cushing’s syndrome can lead to a secondary high pressure. While the secondary hypertension causally can be treated at least partially by the treatment of the reason suffering and thus, this is not the case in essential hypertension. In adolescents, the blood pressure in 85 to 95% of all cases is essential.
Important Risk factors are a familial hypertension and an increased body-mass-index (BMI: body weight in kg/body length in m square). Sleep disorders such as snoring and sleep apnea may increase the risk of developing an essential high pressure. Therefore, the doctor and the healer when the history will ask also for sleep problems such as waking up during the night, snoring, sleep difficulties, pronounced fatigue during the day. (National high blood pressure education program working group of high blood pressure in children and adolescents, the 4th report of the diagnosis, elution, and treatment of high blood pressure in children. Pediatrics 14, no.
2 (2004) 555-576). Priv.-Doz. calls for early diagnosis prevents damage as early as possible to diagnose a hypertension, should investigate the doctor and the healer in all child patients from the age of 3. routinely blood pressure”. Dr. Thomas Kuhn. At least three independent measurements or a 24-hour measurement are necessary to “Diagnose hypertension” to clearly. The diagnosis is of great importance for the child and the young people. He or she is what attracts first non-drug, then possibly drug therapy measures of ill be classified as. The method of blood pressure measurement suitable for children is the method Riva Rocci and Korotkov. Blood pressure is measured on the upper arm, the upper arm in a horizontal position to the rib cage has to be.