Adolescent hypertension may be primary hypertension, or secondary hypertension, the former can be oral antihypertensive drugs, the latter need to address the cause of the treatment.
1. Secondary hypertension: the hypertension that occurs in adolescence is mostly secondary hypertension, and the common diseases that can cause this condition include renal vascular stenosis, primary aldosteronism, pheochromocytoma, etc. Among them, interventional therapy, surgery or antihypertensive drugs can be used.
Renal vascular stenosis can be treated with interventional therapy, surgery or antihypertensive drugs; primary aldosteronism mainly requires surgical treatment, and spironolactone and other drugs can also be taken for treatment.
2. Primary hypertension: If secondary hypertension caused by the above diseases can be excluded, primary hypertension can be diagnosed, and its treatment is mainly based on antihypertensive drugs, commonly used antihypertensive drugs include enalapril, irbesartan, valsartan, levothyroxine, nifedipine extended-release tablets, metoprolol, furosemide, etc. The specific needs to be combined with the patient’s blood pressure fluctuation, and the patient’s blood pressure can also be treated with spironolactone and other drugs.
Specific need to combine with the patient’s blood pressure fluctuations to choose.
Most of the hypertension that occurs in adolescence is secondary hypertension, and it is necessary to seek medical treatment as soon as possible, improve the renal ultrasound, aldosterone measurement and other related auxiliary examinations, to make a clear diagnosis, and formulate a reasonable treatment plan according to the cause of the disease.