CASE REPORT
How to easily overlook hypertension in young children? Case studies
1
Student’s Scientific Association, Department of Paediatrics, Preventive Cardiology and Immunology of Developmental Age, Medical University of Lodz, Lodz, Poland
2
Department of Imaging Diagnostics, Polish Mother’s Memorial Hospital Research Institute, Lodz, Poland
3
Department of Paediatrics, Immunology and Nephrology, Polish Mother’s Memorial Hospital Research Institute, Lodz, Poland
4
Division of Didactics in Paediatrics, Medical University of Lodz, Lodz, Poland
5
Department of Paediatrics, Preventive Cardiology and Immunology of Developmental Age, Medical University of Lodz, Lodz, Poland
Submission date: 2020-06-05
Final revision date: 2020-09-05
Acceptance date: 2020-09-06
Publication date: 2020-10-30
Pediatr Pol 2020;95(3):196-200
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Accurate blood pressure measurement enables proper diagnosis and treatment. Oscillometric devices are popular and comfortable, but verification with auscultatory method is recommended.
Case reports:
We present two cases of children in whom determining of the real value of blood pressure was challenging. The first was a girl with middle aortic syndrome, whose blood pressure at home was surprisingly well controlled on low doses of antihypertensive medications. The second was a boy whose diagnosis of hypertension was delayed because of false negative results of oscillometric blood pressure measurement.
Conclusions:
The presented case studies are in line with the recommendation to confirm the results of an oscillometric method with an auscultatory one. Medical assessment should always be based on careful examination, awareness of the natural course of diseases leading to hypertension, and on a comparison between examined and expected symptoms in a particular disease.
Accurate blood pressure measurement enables proper diagnosis and treatment. Oscillometric devices are popular and comfortable, but verification with auscultatory method is recommended.
Case reports:
We present two cases of children in whom determining of the real value of blood pressure was challenging. The first was a girl with middle aortic syndrome, whose blood pressure at home was surprisingly well controlled on low doses of antihypertensive medications. The second was a boy whose diagnosis of hypertension was delayed because of false negative results of oscillometric blood pressure measurement.
Conclusions:
The presented case studies are in line with the recommendation to confirm the results of an oscillometric method with an auscultatory one. Medical assessment should always be based on careful examination, awareness of the natural course of diseases leading to hypertension, and on a comparison between examined and expected symptoms in a particular disease.
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