Hypertension and ischemic cardiovascular disease in Turner syndrome

Hypertension occurs in many patients with Turner syndrome (TS), probably approaching 50% in aging populations. Hypertension seems to be of the essential type, although the reason for the high frequency is unknown. Hypertension should be looked for, and treated appropriately. Hypertension is probably linked to the frequent occurrence of aortic dissection in TS. Presently, the best drug of choice has not been identified, but usually beta-blockers are recommended. Lipid disorders may be present in some patients and should be treated according to international guidelines. Other risk factors, like an unfavourable body composition should also be looked for and prevented. The presence of ischemic heart disease is increased, and should be monitored during clinical care.