title: Neonatal hypertension.
abstract: Neonatal hypertension (HT) is a frequently under reported condition and is seen uncommonly in the intensive care unit. Neonatal HT has defined arbitrarily as blood pressure more than 2 standard deviations above the base as per the age or defined as systolic BP more than 95% for infants of similar size, gestational age and postnatal age. It has been diagnosed long back but still is the least studied field in neonatology. There is still lack of universally accepted normotensive data for neonates as per gestational age, weight and post-natal age. Neonatal HT is an important morbidity that needs timely detection and appropriate management, as it can lead to devastating short-term effect on various organs and also poor long-term adverse outcomes. There is no consensus yet about the treatment guidelines and majority of treatment protocols are based on the expert opinion. Neonate with HT should be evaluated in detail starting from antenatal, perinatal, post-natal history, and drug intake by neonate and mother. This review article covers multiple aspects of neonatal hypertension like definition, normotensive data, various etiologies and methods of BP measurement, clinical features, diagnosis and management.
authors.affiliation: a Department of Pediatrics , Pt B.D. Sharma, PGIMS , Rohtak , Haryana , India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Sharma
authors.affiliation: b Department of Pediatrics , Shiraz University of Medicine , Shiraz , Iran.
authors.forename: Nazanin
authors.initials: N
authors.lastname: Farahbakhsh
authors.affiliation: c Department of Pathology , N.K.P Salve Medical College , Nagpur , Maharashtra , India , and.
authors.forename: Sweta
authors.initials: S
authors.lastname: Shastri
authors.affiliation: d Department of Medicine , Mahatma Gandhi Medical College & Hospital , Jaipur , Rajasthan , India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sharma
mesh_terms: D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods*; D005865:Gestational Age; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases; D015931:Intensive Care, Neonatal
keywords: Hypertension; malignant hypertension; neonate; renal disease