Author(s)

Hamidou Oumar Bâ¹, Youssouf Camara², Ibrahima Sangare¹, Maiga Belco³, Diakite Mamadou³, A. Dembele³, Fofana Cheick Hamala¹, Toure Mamadou¹, Hamidou Camara¹, Sogodogo Adama¹, Traore Aladji¹, Sidibe Samba⁴, Sidibe Noumou¹, Diakite Mamadou⁴, Doumbia Coumba Thiam², Maiga Asmaou Kéita⁵, Konate Massama⁶, Sonfo Boubacar², Menta Ichaka¹, Ilo Bella Diall⁴, Togo Boubacar³, Diarra Mamadou Bocary⁵

¹Service de Cardiologie CHU Gabriel Touré, Bamako, Mali.
²Service de Cardiologie, CHU Kati, Bamako, Mali.
³Service de Pédiatrie, CHU Gabriel Touré, Bamako, Mali.
⁴Service de Cardiologie du CHU Point G, Bamako, Mali.
⁵Service de Cardiologie CHU Mère-Enfant, Bamako, Mali.
⁶Service de Médecine Interne et d’Endocrinologie, Hôpital du Mali, Bamako, Mali.

Introduction: It is known for decades that a correlation among child blood pressure and adult pressure exist. There are few publications on Hypertension (HTN) in pediatric area. We therefore conducted this study to estimate the extension of HTN among children and looking for associated factors. Methods: Blood pressure was assessed using the references released by the National institutes of health in the United States, those of the French Society of Pediatric Nephrology and z-score. We used the auscultation method with appropriate cuff adapted to the child’s upper arm. We got for each arm 3 blood pressure measures taken children seated or lying on the back and mean blood pressure was calculated and used for the evaluation of the pressure level. The arm with the higher blood pressure was considered for the study. Socio-demographical and clinical data were collected anonymously on a formulary and then inserted in a Microsoft Access Database. Analysis was done using Statistical Package for the Social Sciences (SPSS) software using appropriate tests. Results: The study involved 154 patients (boys:girls = 56.5:43.5) aged 3 to 16 years. Patients of 11 years and older made 57.1% of the sample. Most patients suffered from severe malaria (35.1%, glomerular and heart diseases with respectively 16.2% and 9.1%. The global proportion of hypertensive patients was 27%, 39% and 5.2% respectively based on references of the French society of nephrology, those of the 4th report of the NHBPEP and standard deviation. Looking for associated factors with hypertension the logistic regression found no predictor for hypertension using pressure cut-offs values based on the French society of nephrology and those of the 4th report of the National High Blood Pressure Education Programm (NHBPEP). Conclusion: Children must be checked for hypertension to avoid organ damage and later cardiovascular complications. Blood pressure assessment should be preferably done on outpatients as the role of the stressful hospitalization environment can be attenuated.

Hypertension, Pediatric, Bamako

Bâ, H. , Camara, Y. , Sangare, I. , Belco, M. , Mamadou, D. , Dembele, A. , Hamala, F. , Mamadou, T. , Camara, H. , Adama, S. , Aladji, T. , Samba, S. , Noumou, S. , Mamadou, D. , Thiam, D. , Kéita, M. , Massama, K. , Boubacar, S. , Ichaka, M. , Diall, I. , Boubacar, T. and Bocary, D. (2020) Pediatric Hypertension (HTN) Assessed by Various Methods: A Study among Pediatric Inpatients in University Hospital Gabriel Touré (UH-GT). World Journal of Cardiovascular Diseases, 10, 144-154. doi: 10.4236/wjcd.2020.103015.