Cardiovascular and kidney factors associated with arterial hypertension in pediatrics

Abstract

Arterial Hypertension (HTA) is the cause of at least 45% of deaths from acquired heart diseases and 51% of deaths from cardiovascular diseases. The increase in the prevalence of hypertension is due to risk factors related to behavior. Objective: To determine the cardiovascular and renal factors associated to arterial hypertension in pediatrics in the Honduran Institute of Social Security (IHSS-HRN) and Dialysis of Honduras-SPS in the period from January 2017 to June 2018. Patients and Methods: Study of Cases and Controls in patients of 29 days-17 years with 364 days of age, nephropaths and / or cardiologists and who are not cardiologists or nephropaths with or without HTA who attended the Outpatient Consultation of Pediatric Cardiology and patients who were hospitalized in the Pediatric Emergency, Intensive Care Unit Room (PICU), Pediatrics Room A and B of the IHSS-HRN and Dialysis of Honduras-SPS. The sample size was 74 cases and 74 controls. Binary Logistic Regression was performed to determine the Risk Factors. Results: The prevalence of hypertension in the IHSS-HRN was 0.24% and 2.7% in Dialysis of Honduras-SPS. The risk factors identified in the study were: age over 10 years, male sex, sedentary lifestyle, alcohol and cigarette consumption. adding salt to food, family history of hypertension and personal history of kidney disease. According to the results of Wald statistics with a value of P <0.05, they indicated that these results can be generalized to the population. Conclusions: The risk factors for hypertension in pediatrics are related to behavior and can be preventable and modifiable from early childhood.