Essential hypertension onset in a 12-year-old adolescent
Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-y...
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| Format: | Article |
| Language: | English English |
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Penerbit Universiti Kebangsaan Malaysia
2020
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| Online Access: | http://irep.iium.edu.my/79632/ http://irep.iium.edu.my/79632/13/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent.pdf http://irep.iium.edu.my/79632/14/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent_Scopus.pdf |
| _version_ | 1848788804932993024 |
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| author | Shalihin, Mohd Shaiful Ehsan Harun, Zulkifli Osman, Iskandar Firzada |
| author_facet | Shalihin, Mohd Shaiful Ehsan Harun, Zulkifli Osman, Iskandar Firzada |
| author_sort | Shalihin, Mohd Shaiful Ehsan |
| building | IIUM Repository |
| collection | Online Access |
| description | Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood
obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or
presented with resistant hypertension. We reported a case of 12-year-old adolescent male diagnosed with essential
hypertension during opportunistic screening with suboptimal blood pressure control at primary care. Poor response of
his blood pressure control despite his compliance to medications had cause him emotional distress. We referred this child for assessment of secondary hypertension but it turned out to be negative. Surprisingly, his blood pressure
responded well with prazosin and diltiazem combination during adjustment period prior to renovascular assessment.
His hypertension is well controlled till now. This case proved that essential hypertension is still possible in early non-morbid obese adolescent despite negative family history of hypertension. Individualised treatment should be adapted
rather than questioning the compliance of the adolescent. |
| first_indexed | 2025-11-14T17:46:39Z |
| format | Article |
| id | iium-79632 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English English |
| last_indexed | 2025-11-14T17:46:39Z |
| publishDate | 2020 |
| publisher | Penerbit Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-796322020-11-27T06:31:21Z http://irep.iium.edu.my/79632/ Essential hypertension onset in a 12-year-old adolescent Shalihin, Mohd Shaiful Ehsan Harun, Zulkifli Osman, Iskandar Firzada R Medicine (General) RA Public aspects of medicine RC Internal medicine RJ Pediatrics Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-year-old adolescent male diagnosed with essential hypertension during opportunistic screening with suboptimal blood pressure control at primary care. Poor response of his blood pressure control despite his compliance to medications had cause him emotional distress. We referred this child for assessment of secondary hypertension but it turned out to be negative. Surprisingly, his blood pressure responded well with prazosin and diltiazem combination during adjustment period prior to renovascular assessment. His hypertension is well controlled till now. This case proved that essential hypertension is still possible in early non-morbid obese adolescent despite negative family history of hypertension. Individualised treatment should be adapted rather than questioning the compliance of the adolescent. Penerbit Universiti Kebangsaan Malaysia 2020-01-31 Article PeerReviewed application/pdf en http://irep.iium.edu.my/79632/13/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent.pdf application/pdf en http://irep.iium.edu.my/79632/14/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent_Scopus.pdf Shalihin, Mohd Shaiful Ehsan and Harun, Zulkifli and Osman, Iskandar Firzada (2020) Essential hypertension onset in a 12-year-old adolescent. Sains Malaysiana, 49 (1). pp. 129-132. ISSN 0126-6039 http://www.ukm.my/jsm/english_journals/vol49num1_2020/vol49num1_2020pg129-132.html 10.17576/jsm-2020-4901-15 |
| spellingShingle | R Medicine (General) RA Public aspects of medicine RC Internal medicine RJ Pediatrics Shalihin, Mohd Shaiful Ehsan Harun, Zulkifli Osman, Iskandar Firzada Essential hypertension onset in a 12-year-old adolescent |
| title | Essential hypertension onset in a 12-year-old adolescent |
| title_full | Essential hypertension onset in a 12-year-old adolescent |
| title_fullStr | Essential hypertension onset in a 12-year-old adolescent |
| title_full_unstemmed | Essential hypertension onset in a 12-year-old adolescent |
| title_short | Essential hypertension onset in a 12-year-old adolescent |
| title_sort | essential hypertension onset in a 12-year-old adolescent |
| topic | R Medicine (General) RA Public aspects of medicine RC Internal medicine RJ Pediatrics |
| url | http://irep.iium.edu.my/79632/ http://irep.iium.edu.my/79632/ http://irep.iium.edu.my/79632/ http://irep.iium.edu.my/79632/13/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent.pdf http://irep.iium.edu.my/79632/14/79632_Essential%20hypertension%20onset%20in%20a%2012-year-old%20adolescent_Scopus.pdf |