Article Text

Download PDFPDF
Fifteen-minute consultation: Neonatal hypertension
  1. Yogen Singh1,2,
  2. Luke McGeoch2,
  3. Sajeev Job3
  1. 1 Department of Paediatrics – Neonatology and Paediatric Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK
  2. 2 University of Cambridge School of Clinical Medicine, Cambridge, Cambridgeshire, UK
  3. 3 Department of Paediatrics – Neonatology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Yogen Singh, Department of Paediatrics – Neonatology and Paediatric Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK; Yogen.Singh{at}nhs.net

Abstract

Neonatal hypertension is a rare but well recognised condition, especially in newborns needing invasive monitoring in the intensive care unit. Recognition of newborns with hypertension remains challenging because of natural variability in blood pressure with postconceptional age and the lack of reference data for different gestational ages. Investigation of neonates with hypertension can be challenging in light of the myriad differing aetiologies. This may be simplified by a systematic approach to investigation. There remains a relative paucity of data to guide the use of pharmacological therapies for hypertension in neonates. Clinicians rely on empirical management protocols based on experience and expert opinion. Much of the information on dosing regimens and protocols has simply been derived from the use of antihypertensive agents in older children and in adults, despite fundamental pathophysiological differences.

  • neonatology
  • nephrology
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors YS conceptualised the idea. YS and LMcG prepared the initial manuscript. YS and SJ finalised the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.