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Substance-Induced Hypertension: Mechanisms and Management

  • Douglas L. BloweyEmail author
Reference work entry

Abstract

In most children elevated blood p ressure measurements are transient and due to situational anxiety. When the blood pressure elevations persist, most children are found not to have an identifiable cause for the hypertension. In the minority of children, hypertension is due to an identifiable cause which may include a variety of medications and illicit substances. Substance-induced hypertension can be associated with unexpected and severe blood pressure elevations and should be considered in such circumstances. Fortunately, the blood pressure typically returns to normal values soon after stopping the offending agent, and usually pharmacologic intervention is not required.

Keywords

Hypertension Children Substance-induced Stimulants Illicit drugs Club drugs NSAIDs Phenylephrine Pseudoephedrine Anti-VEGF 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Pediatric Nephrology, Children’s Mercy HospitalUniversity of Missouri – Kansas CityKansas CityUSA

Section editors and affiliations

  • Joseph T. Flynn
    • 1
    • 2
  1. 1.Division of NephrologySeattle Children’s HospitalSeattleUSA
  2. 2.Department of PediatricsUniversity of Washington School of MedicineSeattleUSA

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