作者: Pallav Sengupta
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摘要: Currently, we are experiencing an epidemic of essential hypertension characterized by increasing rates obesity, the metabolic syndrome, and type 2 diabetes.[1,2] Essential affects nearly 20% population across global.[3,4] The consequences include coronary artery disease, stroke, heart failure chronic kidney disease.[5,6,7,8] Recently, assessment management has focused on accurate blood pressure (BP) measurement, appropriate non-pharmacological (life-style) strategies for prevention control, how to attain target BPs that will reduce risk complications minimize adverse effects assess manage resistant hypertension. Each these topics dealt with in this theme issue.[9,10,11,12,13,14] Managing control requires a concerted effort primary care physicians specialists optimize pharmacological therapy identify patients context overall strategy cardiovascular reduction.[9,10,12,13] Should go searching evidence organ involvement would prompt more aggressive strategies?[15] This special issue marks new feature International Journal Preventive Medicine, pediatric focus issue. major deals obesity adolescents provides highly valuable information such authoritative readable review subject. The authors provide concise background broad problem appear parallel occurrence adolescents. Dr. Badeli associate reports common errors BP measurement helpful guidelines obtaining office readings children Malakan Rad et al. discuss disease reviews recent therapeutic approaches directed factors hypertension. Focusing is utmost importance, as have mortality 10-20 times higher than general population. After correcting age, gender, race diabetes myocardial infarction, sudden cardiac death congestive causes half all sustained Furthermore, increased incidence starts at early stages hypertension. Dr. Hooman her associates compelling changes young people prehypertension. They studied group people, some or prehypertension diabetes, report damage. Type 1 associated events, certainly earlier age without diabetes. Dr. Hajizadeh discussed possible benefit renal denervation. In article Dr. Nickavar diagnosis current neonatal Muruga describe interesting set relationship between body mass index healthy children. Similarly Shrivastava Anand present their single center cohort studies prevalence among school India. The John excellent after transplantation. These developing following transplantation including immunosuppressive agents, donors/recipient underlying pre-medical conditions syndromes. Dr. Gerda-Maria Hass co-investigators, prospective study, signify overweight, dyslipidemia, factor pre-hypertensive adolescents. Professor Kelishadi co-investigators broader extension CASPIAN-IV rate pre-hypertension national sample Iranian children. They 6.88% (systolic diastolic combined), significantly both boys girls prevalent subjects living urban rural areas. These data, together my own suggest measures must be taken perform number clinical trials could address different aspects concerning prevention, cause patients. Last but not least, I want express our gratitude Editor-in-Chief journal, Professor Roya Kelishadi, giving me home subject form also acknowledge invaluable help editorial staff helping make publication possible.