High blood pressure in children can be associated with kidney, endocrine, cardiovascular or other conditions and requires age-appropriate assessment.

Correct measurement

An appropriately sized cuff, a calm child and correct positioning are important. Confirmation usually needs repeated measurements, unless the reading is severely elevated with symptoms.

Kidney connection

Kidney disease can cause or be affected by hypertension. Urine tests, blood tests or imaging may be considered depending on the child’s history and examination.

Follow-up

Management may include lifestyle measures, treatment of an underlying condition and medicines when indicated. Targets are individualised.

Medical information notice: This article is general education only and does not replace assessment by a qualified medical professional. Seek urgent care for a medical emergency.