The efficacy and safety of intravenous hydralazine for the treatment of hypertension in the hospitalized child

Autor: Ibrahim F. Shatat, Julie Ostrye, Jenna Jones, Katherine Chessman, Brent M. Egan, Susan M. Hailpern
Rok vydání: 2014
Předmět:
Zdroj: Pediatric Nephrology. 29:1403-1409
ISSN: 1432-198X
0931-041X
DOI: 10.1007/s00467-014-2772-0
Popis: Intravenous (IV) hydralazine is frequently used for the treatment of elevated blood pressure (BP) in hospitalized children. Its safety and efficacy have not been examined. This is a retrospective chart review of IV hydralazine use in hospitalized children (birth to 17 years) over a 3-year period. Demographic data and data on adverse effects (AE), BP, and heart rate (HR) prior to and after each first dose were collected. The patient cohort comprised 110 children admitted to the hospital during the study period, of whom 77 received the recommended dose. Mean age of the children was 8.5 ± 5.4 years; 33 % were male, and 32.5 % were white. Pre-dose systolic and diastolic BP indexes were 1.3 and 1.2, respectively. The median reduction in systolic and diastolic BP was 8.5 and 11.5 %, respectively. Sixteen (21 %) children achieved a 25 % reduction in systolic or diastolic BP, and BP increased in 30 % of patients; 10 % of children had a BP of
Databáze: OpenAIRE