Key result
Sublingual nifedipine controls severe hypertension in ~93% of pediatric malignant hypertension cases.
Why the study?
Malignant hypertension remains a significant problem in children in India despite being uncommon in the western world.
What are the aetiological spectrum, management strategies, and outcomes of malignant hypertension in children in India?
Design
Observational cohort study
Authors
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Etiology data from India highlight regional variation in pediatric malignant hypertension; leaves open optimal acute BP control strategies.
Observational (n=40)
What are the aetiological spectrum, management strategies, and outcomes of malignant hypertension in children in India?
In Indian children with malignant hypertension, renoparenchymal disease and aortoarteritis are the most common causes, and sublingual nifedipine is highly effective for acute blood pressure control.
Kumar et al. (1996) conducted an observational in Malignant hypertension (n=40). Sublingual nifedipine was evaluated on Acute control of severe hypertension. Renoparenchymal disease and aortoarteritis were the most common causes of malignant hypertension in children, and sublingual nifedipine effectively controlled severe hypertension in 92.5% of patients.
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