Cardiology Letters 2023, 32(2):82-91
Hypertension in pregnancy. How to manage patients according to the latest recommendations
- 1 Ambulancia vnútorného lekárstva, FNsP J. A. Reimana Prešov
- 2 Kardiologická klinika LFUK a Národný ústav srdcových a cievnych chorôb, a. s. v Bratislave
- 3 Interného oddelenia, NsP Myjava, Slovenská republika
Hypertensive disorders in pregnancy are some of the most frequent complications of pregnancy, including a wide spectrum of a nosological unit of various etiology, course, and prognosis. Pregnant patients with hypertension require regular follow up. It is important to identify women with a high risk of developing preeclampsia. In each patient, it is necessary to administer effective antihypertensive treatment for the mother while maintaining the safety of the administered treatment for the fetus. The review outlines the definition, classification and treatment of patients with hypertension during pregnancy, taking into account the availability of medications in the conditions of the Slovak Republic.
Keywords: pregnancy; hypertension; gestational hypertension; preeclampsia; antihypertensive treatment in pregnancy
Published: February 1, 2023 Show citation
References
- Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, Blomström-Lundqvist C, Cífková R, De Bonis M, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy: The Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 2018;39:3165-3241.
Go to original source... - Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart J 2018;39:3021-3104. Go to original source...
- Hájek Z a kol. Rizikové a patologické těhotenství. 1. vyd. Praha: Grada Publishing; 2004:443.
- Janků K, Janků P. Kardiovaskulární choroby v těhotenství. 2. vyd. Sborník práci lékařské fakulty v Brně. Brno 2005;211-233.
- Bateman BT, Shaw KM, Kuklina EV, Callaghan WM, Seely EW, Hernández-Díaz S. Hypertension in women of reproductive age in the United States: NHANES 1999-2008. PLoS ONE 2012;7:e36171. Go to original source...
- www. https://www.standardnepostupy.sk/standardy-gynekologia-a-porodnictvo.5_3-Gyn-a-por-Hypertenzne-ochoreniav-tehotnosti
- Hypertension in pregnancy: Diagnosis and management NICE guideline (National Institute for Health and Care Excellence). Published: 25 June 2019 www. nice.org.uk/guidance/ng133
- Brown MA, Magee LA, Kenny LC, Karumanchi SA, McCarthy FP, Saito S, et al. The hypertensive disorders of pregnancy: ISSHP classification, diagnosis and management recommendations for international practice. Pregnancy Hypertension 2018;13:291-310. Go to original source...
- Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension 2020;75:1334-1357. Go to original source...
- Stepan H, Kuse-Föhl S, Klockenbusch W, Rath W, Schauf B, Walther T, et al. Diagnosis and Treatment of Hypertensive Pregnancy Disorders. Guideline of DGGG (the German Society of Gynecology and Obstetrics). (S1-Level, AWMF Registry No. 015/018, December 2013). Geburtshilfe Frauenheilkd. 2015;75:900-914. Go to original source...
- Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb ChD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/ AGS / APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71:1269-1324. Go to original source...