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Fifteen-minute consultation: the child with systemic arterial hypertension
  1. Cheentan Singh1,2,
  2. Helen Jones1,
  3. Helen Copeman1,
  4. Manish D Sinha1,3
  1. 1Department of Paediatric Nephrology, Evelina London Children's Hospital, Guys & St Thomas NHS Foundation Trust, London, UK
  2. 2North Middlesex University Hospital NHS Trust, London, UK
  3. 3Department of Clinical Pharmacology, King's College London, British Heart Foundation Centre, St Thomas’ Hospital, Kings College London, London, UK
  1. Correspondence to Dr Manish D Sinha, Department of Paediatric Nephrology, Evelina London Children's Hospital, Guys & St Thomas' NHS Foundation Trust, Room 64, SKY LEVEL, Westminster Bridge Road, London SE1 7EH, UK; manish.sinha{at}


Hypertension in children is a relatively uncommon condition but its prevalence is increasing with the rising rates of excess weight during childhood. It is important that hypertension is diagnosed early in children, particularly in those with symptoms, in those with secondary causes and in those with target organ damage. This article presents a systematic approach to the evaluation of a child with arterial hypertension, highlighting important points on history and examination, out-of-office monitoring and baseline investigations before consideration for more detailed investigations and treatment.

  • Paediatric Practice
  • Adolescent Health
  • Cardiology
  • General Paediatrics
  • Nephrology

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.