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Essential hypertension onset in a 12-year-old adolescent

Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-yea...

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Main Authors: Mohd Shaiful Ehsan Shalihin,, Zulkifli Harun,, Iskandar Firzada Osman,
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf
http://journalarticle.ukm.my/14742/
http://www.ukm.my/jsm/malay_journals/jilid49bil1_2020/KandunganJilid49Bil1_2020.html
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spelling my-ukm.journal.147422020-06-17T07:58:02Z http://journalarticle.ukm.my/14742/ Essential hypertension onset in a 12-year-old adolescent Mohd Shaiful Ehsan Shalihin, Zulkifli Harun, Iskandar Firzada Osman, Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-year-old adolescent male diagnosed with essential hypertension during opportunistic screening with suboptimal blood pressure control at primary care. Poor response of his blood pressure control despite his compliance to medications had cause him emotional distress. We referred this child for assessment of secondary hypertension but it turned out to be negative. Surprisingly, his blood pressure responded well with prazosin and diltiazem combination during adjustment period prior to renovascular assessment. His hypertension is well controlled till now. This case proved that essential hypertension is still possible in early non-morbid obese adolescent despite negative family history of hypertension. Individualised treatment should be adapted rather than questioning the compliance of the adolescent. Penerbit Universiti Kebangsaan Malaysia 2020-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf Mohd Shaiful Ehsan Shalihin, and Zulkifli Harun, and Iskandar Firzada Osman, (2020) Essential hypertension onset in a 12-year-old adolescent. Sains Malaysiana, 49 (1). pp. 129-132. ISSN 0126-6039 http://www.ukm.my/jsm/malay_journals/jilid49bil1_2020/KandunganJilid49Bil1_2020.html
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-year-old adolescent male diagnosed with essential hypertension during opportunistic screening with suboptimal blood pressure control at primary care. Poor response of his blood pressure control despite his compliance to medications had cause him emotional distress. We referred this child for assessment of secondary hypertension but it turned out to be negative. Surprisingly, his blood pressure responded well with prazosin and diltiazem combination during adjustment period prior to renovascular assessment. His hypertension is well controlled till now. This case proved that essential hypertension is still possible in early non-morbid obese adolescent despite negative family history of hypertension. Individualised treatment should be adapted rather than questioning the compliance of the adolescent.
format Article
author Mohd Shaiful Ehsan Shalihin,
Zulkifli Harun,
Iskandar Firzada Osman,
spellingShingle Mohd Shaiful Ehsan Shalihin,
Zulkifli Harun,
Iskandar Firzada Osman,
Essential hypertension onset in a 12-year-old adolescent
author_facet Mohd Shaiful Ehsan Shalihin,
Zulkifli Harun,
Iskandar Firzada Osman,
author_sort Mohd Shaiful Ehsan Shalihin,
title Essential hypertension onset in a 12-year-old adolescent
title_short Essential hypertension onset in a 12-year-old adolescent
title_full Essential hypertension onset in a 12-year-old adolescent
title_fullStr Essential hypertension onset in a 12-year-old adolescent
title_full_unstemmed Essential hypertension onset in a 12-year-old adolescent
title_sort essential hypertension onset in a 12-year-old adolescent
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2020
url http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf
http://journalarticle.ukm.my/14742/
http://www.ukm.my/jsm/malay_journals/jilid49bil1_2020/KandunganJilid49Bil1_2020.html
_version_ 1671340598276128768
score 13.211869

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