About this Journal Submit a Manuscript Table of Contents
International Journal of Pediatrics
Volume 2012 (2012), Article ID 537936, 8 pages
http://dx.doi.org/10.1155/2012/537936
Review Article

Prematurity-Related Hypertension in Children and Adolescents

1Department of Pediatrics, Polish-American Children's Hospital, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Cracow, Poland
2Medical Student's Research Assosciation, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Cracow, Poland
3Department of Pediatric Nephrology, Polish-American Children's Hospital, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Cracow, Poland

Received 14 October 2011; Accepted 29 November 2011

Academic Editor: Umut Selda Bayrakci

Copyright © 2012 Karolina Poplawska et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Due to the functional and structural immaturity of different organ systems, preterms have a higher rate of morbidity and mortality. The prevention and treatment of the complications of prematurity is a major challenge in perinatal health care. Recently, there have been several multicenter research trials analysing the impact of prematurity or low birth weight on the health problems of children and adolescents. Many of these studies deal with the issue of pediatric hypertension. An analysis of 15 studies conducted in the years 1998–2011, in which blood pressure values in ex-preterm children were measured, was performed. Comparison was based on several issues: measurement method, cohorts age, size, and birthweight. It has been proven that hypertension occurs more often in former preterm infants; however the etiologic pathways that cause this condition still remain unclear. Moreover, pediatric hypertension is a significant problem, because of its transformation into adult hypertension and increased cardiovascular risk later in life. Therefore it is crucial to introduce wide-spread screening and detection of elevated blood pressure, especially among prematurely born children.