From the Ongoing ESH 2026 Scientific Focus: Children & AdolescentsGdańsk, Poland | 29 May – 1 June 2026
From the Ongoing ESH 2026 Scientific Focus: Children & AdolescentsGdańsk, Poland | 29 May – 1 June 2026
Andrzej Januszewicz (ESH Vice President; Co-Chair, ESH 2026 Congress)
Adolescents With Hypertension: Transition to Adult Care (Polish Experience)
Key Points
• Hypertension is no longer a rare condition in children and adolescents, affecting approximately 10% of teenagers.
• The prevalence of pediatric hypertension has increased by about 30% over recent decades
• * Primary hypertension (PH) is now increasingly diagnosed from early childhood and becomes the predominant form during puberty. and is frequently associated with:
Obesity and abnormal body composition
Insulin resistance
Hyperuricemia
Metabolic syndrome
• Prematurity and low birth weight are increasingly recognized as important risk factors for future hypertension & CV disease,
• Common causes of secondary hypertension in adolescents include:
Chronic kidney disease (CKD)
Renovascular hypertension
Fibromuscular dysplasia (FMD)
Congenital vascular disorders
Monogenic hypertension (a rare but clinically important hereditary form of secondary hypertension that may require genetic testing, family screening, and targeted treatment)
• Adolescents with uncomplicated primary hypertension can generally be followed by family physicians, whereas complex secondary hypertension cases should continue care in specialized adult referral centers.
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