ESPE Abstracts

Females with Turner syndrome (TS) have a reduced life expectancy of about 13 years and a substantial excess mortality; about 50% of this is the result of cardiovascular pathology. Hypertension affects 20-60% of females with TS and is the single most modifiable risk factor for cardiovascular disease. However, hypertension in TS is both under-diagnosed and under-treated. The presentation details a practical approach to monitoring blood pressure and managing hypertension in TS. The prevalence of hypertension, the causes and end-organ effects are explored. Methods for monitoring blood pressure in children and adolescents are described. Finally, making a diagnosis of hypertension is discussed together with management, remaining uncertainties and ideas for future research.