Severe hypertension in children needs a rapid response and thorough investigation

Abstract

Severe hypertension (HTN) in children requires urgent treatment. If end organ renal, neurological or cardiac damage is suspected, intravenous antihypertensives, such as hydrazaline, labetolol or nicardipine, should be administered immediately and admission to an intensive care unit is imperative. Where symptoms are milder, oral medications may suffice. Serious underlying conditions are likely in younger children or those with very high blood pressure and all cases of severe HTN should be carefully investigated.