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-yea...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Penerbit Universiti Kebangsaan Malaysia
2020
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| Online Access: | http://journalarticle.ukm.my/14742/ http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf |
| _version_ | 1848813631076040704 |
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| author | Mohd Shaiful Ehsan Shalihin, Zulkifli Harun, Iskandar Firzada Osman, |
| author_facet | Mohd Shaiful Ehsan Shalihin, Zulkifli Harun, Iskandar Firzada Osman, |
| author_sort | Mohd Shaiful Ehsan Shalihin, |
| building | UKM Institutional 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 | 2025-11-15T00:21:15Z |
| format | Article |
| id | oai:generic.eprints.org:14742 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:21:15Z |
| publishDate | 2020 |
| publisher | Penerbit Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:147422020-06-17T07:58:02Z http://journalarticle.ukm.my/14742/ Essential hypertension onset in a 12-year-old adolescent Mohd Shaiful Ehsan Shalihin, Zulkifli Harun, Iskandar Firzada Osman, 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 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf Mohd Shaiful Ehsan Shalihin, and Zulkifli Harun, and Iskandar Firzada Osman, (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/malay_journals/jilid49bil1_2020/KandunganJilid49Bil1_2020.html |
| spellingShingle | Mohd Shaiful Ehsan Shalihin, Zulkifli Harun, Iskandar Firzada Osman, 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 |
| url | http://journalarticle.ukm.my/14742/ http://journalarticle.ukm.my/14742/ http://journalarticle.ukm.my/14742/1/ARTIKEL%2015.pdf |