Severe hypertension in pregnancy.
hypertension
pre-eclampsia
pregnancy
Journal
Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
entrez:
11
9
2021
pubmed:
12
9
2021
medline:
24
9
2021
Statut:
ppublish
Résumé
Severe hypertension in pregnancy is defined as a sustained systolic blood pressure of 160 mmHg or over or diastolic blood pressure of 110 mmHg or over and should be assessed in hospital. Severe hypertension before 20 weeks' gestation is rare and usually due to chronic hypertension; assessment for target organ damage and exclusion of secondary hypertension are warranted. The most common cause of severe hypertension in pregnancy is pre-eclampsia, which presents after 20 weeks' gestation. This warrants more rapid control of blood pressure due to the risk of haemorrhagic stroke, and intravenous antihypertensive agents may be required. Treatment is determined by licensing, availability and clinician experience, with no high-level evidence to guide prescribing. Labetalol is the agent most commonly used, both orally and intravenously, in pregnancy in the UK. Severe hypertension is a risk factor for sustained hypertension after pregnancy. Hypertension in pregnancy is associated with increased cardiovascular risk.
Identifiants
pubmed: 34507929
pii: 21/5/e451
doi: 10.7861/clinmed.2021-0508
pmc: PMC8439512
doi:
Substances chimiques
Antihypertensive Agents
0
Labetalol
R5H8897N95
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e451-e456Informations de copyright
© Royal College of Physicians 2021. All rights reserved.
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