A Prospective Study on Pediatric Hypertension in Libyan Patients with Kidney Diseases

Abstract

Background: Hypertension (HT) in children is an increasing concern of health care proffesionals.in particularly, hypertension presented with chronic kidney disease. Secondary HT is more common in children than primary type. Aims of the study are: to determine the prevalence and common underlying causes of hypertension in patients with kidney diseases and relationship between age, gender, obesity, drugs, and other factors and to evaluates the patterns of antihypertensive prescribed for children. Patients and methods our study was based on survey and measurement of blood pressure in pediatric patients who referred to nephrology clinic. HT screening was performed on 73 children aged from 3 months to 17 years. Result The total number of patient in this study is 73, 45(61.6%) were males, and 28 (38.3%) were females. The majority (27.4%) were adolescent between age 13-15 years with SBP 127.9±15.9 mm hg (mean ±SD) and DBP 77.97±9.5 mmhg (mean ±SD). Conclusions: our study found that nephrotic syndrome and chronic kidney disease, where the highest renal disease associated with high blood pressure. BMI was the most highlighted risk factor detected that representing in total nearly 43% of all children in this study. ACEIs (Enalapril) was the most used anti HT agents about 90% of children prescribed Enalapril for them.