AIM To ascertain the frequency of hyponatremic hypertensive syndrome （HHS） in a cohort of children with hypertensive emergency in a tertiary pediatric hospital.METHODS A retrospective review was undertaken among chi...AIM To ascertain the frequency of hyponatremic hypertensive syndrome （HHS） in a cohort of children with hypertensive emergency in a tertiary pediatric hospital.METHODS A retrospective review was undertaken among children with hypertensive emergency admitted in our tertiary children hospital between June 2014 and December 2015 with an aim to identify any children with HHS. Three children with HHS were identifed during this period.RESULTS The 3 patients with HHS presented with hypertensive emergency. They were initially managed with Labetalol infusion and thereafter switched to oral anti-hypertensives （combination of Nifedipine sustained release, Hydralazine and Beta Blocker）. All 3 were diagnosed to have unilateral renal artery stenosis. One child was lost to follow up, whereas the other 2 underwent renal angioplasty which was followed with normalization of blood pressure.CONCLUSION Despite activation of renin angiotensin axis secondary to renal artery stenosis, these groups of children have significant hyponatremia. Renal re-vascularisation pro-duces excellent results in most of them.展开更多
文摘AIM To ascertain the frequency of hyponatremic hypertensive syndrome （HHS） in a cohort of children with hypertensive emergency in a tertiary pediatric hospital.METHODS A retrospective review was undertaken among children with hypertensive emergency admitted in our tertiary children hospital between June 2014 and December 2015 with an aim to identify any children with HHS. Three children with HHS were identifed during this period.RESULTS The 3 patients with HHS presented with hypertensive emergency. They were initially managed with Labetalol infusion and thereafter switched to oral anti-hypertensives （combination of Nifedipine sustained release, Hydralazine and Beta Blocker）. All 3 were diagnosed to have unilateral renal artery stenosis. One child was lost to follow up, whereas the other 2 underwent renal angioplasty which was followed with normalization of blood pressure.CONCLUSION Despite activation of renin angiotensin axis secondary to renal artery stenosis, these groups of children have significant hyponatremia. Renal re-vascularisation pro-duces excellent results in most of them.
