Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy

The American College of Cardiology/American Heart Association (ACC/AHA) updated its guideline redefining the classification of hypertension and the blood pressure cut-off in 2017. The current cut-offs for stage 1 hypertension of 130 mm Hg systolic blood pressure or 80 mm Hg diastolic blood pressure...

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Main Authors: Giovanni Sisti, Belinda Williams
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/10/703
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author Giovanni Sisti
Belinda Williams
author_facet Giovanni Sisti
Belinda Williams
author_sort Giovanni Sisti
collection DOAJ
description The American College of Cardiology/American Heart Association (ACC/AHA) updated its guideline redefining the classification of hypertension and the blood pressure cut-off in 2017. The current cut-offs for stage 1 hypertension of 130 mm Hg systolic blood pressure or 80 mm Hg diastolic blood pressure replace the previous cut-offs of 140 mm Hg systolic blood pressure or 90 mm Hg diastolic blood pressure which were based on the ACC/AHA guidelines from 1988. However, the blood pressure cut-off for the obstetric population still remains as 140/90 mm Hg despite the scarcity of evidence for it. Recent American College of Obstetricians and Gynecologists (ACOG) bulletins for pregnant women have not reflected the new ACC/AHA change of guideline. We reviewed a mounting body of evidence prompting the implementation of the new ACC/AHA guidelines for the obstetric population. These studies examined maternal and fetal outcomes applying the new ACC/AHA guidelines during antepartum or postpartum care.
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spelling doaj.art-1233cf7a3c8141f49c4550c20b93e8372023-09-03T02:47:17ZengMDPI AGMedicina1010-660X2019-10-01551070310.3390/medicina55100703medicina55100703Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of PregnancyGiovanni Sisti0Belinda Williams1Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USASt. George’s University School of Medicine, True Blue, West Indies, GrenadaThe American College of Cardiology/American Heart Association (ACC/AHA) updated its guideline redefining the classification of hypertension and the blood pressure cut-off in 2017. The current cut-offs for stage 1 hypertension of 130 mm Hg systolic blood pressure or 80 mm Hg diastolic blood pressure replace the previous cut-offs of 140 mm Hg systolic blood pressure or 90 mm Hg diastolic blood pressure which were based on the ACC/AHA guidelines from 1988. However, the blood pressure cut-off for the obstetric population still remains as 140/90 mm Hg despite the scarcity of evidence for it. Recent American College of Obstetricians and Gynecologists (ACOG) bulletins for pregnant women have not reflected the new ACC/AHA change of guideline. We reviewed a mounting body of evidence prompting the implementation of the new ACC/AHA guidelines for the obstetric population. These studies examined maternal and fetal outcomes applying the new ACC/AHA guidelines during antepartum or postpartum care.https://www.mdpi.com/1010-660X/55/10/703hypertensive disorders of pregnancyblood pressure cut-offpreeclampsiagestational hypertensioneclampsia
spellingShingle Giovanni Sisti
Belinda Williams
Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
Medicina
hypertensive disorders of pregnancy
blood pressure cut-off
preeclampsia
gestational hypertension
eclampsia
title Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
title_full Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
title_fullStr Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
title_full_unstemmed Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
title_short Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy
title_sort body of evidence in favor of adopting 130 80 mm hg as new blood pressure cut off for all the hypertensive disorders of pregnancy
topic hypertensive disorders of pregnancy
blood pressure cut-off
preeclampsia
gestational hypertension
eclampsia
url https://www.mdpi.com/1010-660X/55/10/703
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