II. Normal Blood Pressures in young infants and newborns

III. Causes

  1. See Hypertension Causes
  2. Blood Pressure higher in upper extremity
    1. Aortic Coarctation
    2. Interrupted aortic arch
  3. Blood Pressure higher in lower extremity
    1. Renal parenchymal disease
    2. Endocrine abnormality
    3. Neonatal Seizures with transient Hypertension
    4. Hypervolemia
    5. Renovascular (Umbilical Artery Catheter complication)
      1. Aortic mural thrombi
      2. Renal artery thrombosis
      3. Renal vein thrombosis

IV. Evaluation

  1. Aortic cause suspected
    1. Evaluate for Aortic Coarctation
  2. Renal or endocrine cause suspected
    1. Serum electrolytes with Renal Function tests (Chem8)
    2. Plasma renin
    3. Renal Ultrasound with doppler flow
  3. CNS cause suspected
    1. CT or MRI Head

V. References

  1. Bada in Korones (1993) Neonatal Decision Making, p. 152
  2. Ingelfinger (1982) Pediatric Hypertension, p. 229-240
  3. Ingelfinger in Cloherty (1991) Neonatal Care, p. 492-5
  4. Fuloria (2002) Am Fam Physician 65(1):61-8 [PubMed]

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Ontology: Neonatal hypertension (C0452204)

Concepts Disease or Syndrome (T047)
ICD10 P29.2
SnomedCT 206596003
Italian Ipertensione neonatale
Japanese 新生児高血圧, シンセイジコウケツアツ
German Hypertonie beim Neugeborenen, Hypertonie Neugeborenes
Czech Hypertenze novorozence
Korean 신생아 고혈압
English Hypertension neonatal, neonatal hypertension (diagnosis), Hypertension, neonatal, Neonatal hypertension, Neonatal hypertension (disorder), hypertension; neonatal, hypertension; newborn, neonatal; hypertension, newborn; hypertension, Neonatal Hypertension
Hungarian Újszülöttkori hypertonia
Dutch hypertensie; neonataal, hypertensie; pasgeborene, neonataal; hypertensie, pasgeborene; hypertensie, Neonatale hypertensie, neonatale hypertensie
Spanish hipertensión neonatal (trastorno), hipertensión neonatal, Hipertensión neonatal
Portuguese Hipertensão neonatal
French Hypertension du nouveau-né