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  • Pediatric Nephrology
  • Request an Appointment

    New Patients

    336-716-WAKE

    Returning Patients

    336-713-4500

  • Additional Information

    Location
    7th Floor Ardmore Tower
    Medical Center Blvd
    Winston Salem, NC 27157

    Referring Providers
    If you are a provider making a referral, or wish to speak to with one of our providers, please call 336-713-4500



About Pediatric Hypertension

High blood pressure (also called hypertension) is when the force (or pressure) of the blood flowing in your body is too strong.

Why is hypertension important?

  • Hypertension is common, affecting over 2.5 million kids and about half of adults in the U.S
  • This is especially true for patients who also have obesity (weight that is too high)
  • Hypertension causes short-term, long-term and permanent damage to many of the body’s organs, including the brain, heart, kidneys and eyes, even during childhood
  • A child with hypertension is at risk for having hypertension the rest of their life
  • Hypertension during childhood increases the risk of having cardiovascular (heart) disease both during childhood and as an adult.
  • Of all cardiovascular disease risk factors in adults, hypertension is the #1 cause of death and the #2 cause of kidney failure

How is hypertension diagnosed?

  • Kids need at least 3 blood pressures measured on different days to correctly diagnose and classify hypertension
  • Sometimes we use ambulatory blood pressure monitors to measure blood pressure over a full day at home to better classify the hypertension

We treat kids with all hypertensive conditions

  • Elevated blood pressure (blood pressure that is high but not yet true hypertension)
  • Hypertension
  • White coat hypertension (blood pressure that is high in the office but normal at home)
  • Masked hypertension (blood pressure that is normal in the office but high at home

What causes hypertension?

Most patients, even younger children, have primary (essential) hypertension. This means there is no specific medical condition that caused the hypertension.

Primary hypertension is related to many factors, including unhealthy eating, a lack of physical activity, obesity, snoring, hypertension in the family and being born preterm.

Several conditions and medicines can cause secondary hypertension:

  • Kidney diseases
  • Medication side effect
  • Inherited (genetic) diseases
  • Narrowing of the arteries of the kidneys (renal artery stenosis)
  • Sickle cell disease
  • Hormone problems
  • Stimulant medicines for ADD/ADHD

How do you treat hypertension?

  • Team work is crucial to successful treatment. We work closely with patients, families and other providers to ensure that each patient has the opportunity to succeed.
  • Lifestyle counseling to eat healthier and be more physically active is the most important step. We work closely with patients and families to help with this.
  • Many patients need medicine to lower their blood pressure to a safe level. Many patients can safely come off the medicine after a few years, but some patients need medicine for a long time to treat their hypertension
  • Rarely patients need surgery to correct their hypertension.

  • Pediatric Nephrology
  • Request an Appointment

    New Patients

    336-716-WAKE

    Returning Patients

    336-713-4500

  • Additional Information

    Location
    7th Floor Ardmore Tower
    Medical Center Blvd
    Winston Salem, NC 27157

    Referring Providers
    If you are a provider making a referral, or wish to speak to with one of our providers, please call 336-713-4500