Abstract
Severe hypertension and hypertensive emergencies in children most often occur in association with secondary forms of high blood pressure and may develop in children with previously unrecognized disease or as a sudden change in children with known hypertension. The term hypertensive crisis or hypertensive emergency is used to denote a clinical situation in which the blood pressure has been elevated for some period of time and ought to be lowered over minutes, or hours depending on the patient’s clinical status. The clinical presentation of hypertensive emergencies varies. Life threatening hypertensive symptoms, such as acute heart failure, pulmonary edema or neurologic changes require immediate lowering of the blood pressure. (Table I)
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