The significance of B-Mode echocardiography, twenty-four-hour ambulatory blood pressure monitoring with Shiller blood pressure monitor and electrocardiography for diagnosis and treatment of essential arterial hypertension in children

Abstract

AH has become an increasingly important medical problem in children and adolescents. Outcomes related to childhood AH include LVH, retinopathia, nephropathia, psychosocial problems also childhood AH can lead to adult hypertension. This study objectives were assess data of B-Mode ECHO and ECG and how their related with sex, symptoms, TOD and consumption of medications and importance of two different examinations for diagnostic and treatment of children’s EAH also to determine connection between the gravity of AH (assessing 24-h ABPM) with symptoms and TOD. The study involved the data of patients 14-18 years old who were hospitalized with confirmed EAH by general medical doctor. The results showed that the boys are the biggest part of children who have diagnosis of AH. Moreover, the boys with confirmed EAH had more often increased LVDD and the changes of ECG. In addition pathologic ECG’s and increased LV were more often to children who had the severe ambulatory hypertension comparing with the children who had the ambulatory hypertension during 24-h ABPM. So the AH’s diagnosis by general medical doctor and 24-h ABPM are equally important to diagnose the EAH because the frequency of the clinical manifestations did not differ but 24-h ABPM is important to evaluate the gravity of EAH.