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December 3, 1982

Pediatric Hypertension

JAMA. 1982;248(21):2911. doi:10.1001/jama.1982.03330210083054

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It is refreshing to find a useful book written for clinicians by a single author. In the last decade, physicians who care for children have recognized the importance of measuring blood pressure as a part of the routine of physical examination. The foreword emphasizes that children with significant elevation of blood pressure can be treated successfully. It is not clear how to manage the common form of childhood hypertension, which is generally mild and of undefined etiology (so-called essential hypertension).

The clinical applicability of the book is identified in the early chapters on evaluation and therapy of the hypertensive child and adolescent. These chapters are followed by discussions of the role of the renin-angiotensin system and other hormonal systems in blood pressure control and a concise review of hemodynamics and blood pressure. A major part of the text is devoted to clinical situations associated with hypertension, such as renal vascular