Arterial hypertension management in pregnancy

Arterial hypertension (AH) in pregnancy is a heterogeneous pathology. It includes chronic AH (secondary AH and essential AH) which has been observed before pregnancy; gestational AH which develops approximately after 20 weeks of pregnancy and disappearing within 42 days after childbirth; pre-eclamps...

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Main Author: R. I. Stryuk
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2013-08-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/405
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author R. I. Stryuk
author_facet R. I. Stryuk
author_sort R. I. Stryuk
collection DOAJ
description Arterial hypertension (AH) in pregnancy is a heterogeneous pathology. It includes chronic AH (secondary AH and essential AH) which has been observed before pregnancy; gestational AH which develops approximately after 20 weeks of pregnancy and disappearing within 42 days after childbirth; pre-eclampsia (gestosis) which is a combination of AH and proteinuria; and unclassified AH which is diagnosed when blood pressure (BP) is first measured after 20 weeks of pregnancy, and elevated BP, with or without systemic signs and symptoms, is detected. AH in pregnancy increases the risk of complications both for the mother and the child, which points to the need for its active diagnostics and monitoring of the status of target organs and feto-placental complex. Pharmacotherapy of AH in pregnancy is based on the balance of its effectiveness and safety. Therefore, the first-choice medications are methyldopa, dihydropyridine calcium antagonists (nifedipine SR), and cardio-selective beta-blockers. AH in pregnancy is a risk factor of cardiovascular disease across life course stages in women.
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spelling doaj.art-19f3bbdeb2e24e0b8244f596df2bed192025-03-02T11:42:32Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202013-08-0104646910.15829/1560-4071-2013-4-64-69405Arterial hypertension management in pregnancyR. I. Stryuk0A. I. Evdokimov Moscow State Medico-Stomatological Institute, Moscow, RussiaArterial hypertension (AH) in pregnancy is a heterogeneous pathology. It includes chronic AH (secondary AH and essential AH) which has been observed before pregnancy; gestational AH which develops approximately after 20 weeks of pregnancy and disappearing within 42 days after childbirth; pre-eclampsia (gestosis) which is a combination of AH and proteinuria; and unclassified AH which is diagnosed when blood pressure (BP) is first measured after 20 weeks of pregnancy, and elevated BP, with or without systemic signs and symptoms, is detected. AH in pregnancy increases the risk of complications both for the mother and the child, which points to the need for its active diagnostics and monitoring of the status of target organs and feto-placental complex. Pharmacotherapy of AH in pregnancy is based on the balance of its effectiveness and safety. Therefore, the first-choice medications are methyldopa, dihydropyridine calcium antagonists (nifedipine SR), and cardio-selective beta-blockers. AH in pregnancy is a risk factor of cardiovascular disease across life course stages in women.https://russjcardiol.elpub.ru/jour/article/view/405arterial hypertensionpregnancydiagnosticspharmacotherapyprognosis
spellingShingle R. I. Stryuk
Arterial hypertension management in pregnancy
Российский кардиологический журнал
arterial hypertension
pregnancy
diagnostics
pharmacotherapy
prognosis
title Arterial hypertension management in pregnancy
title_full Arterial hypertension management in pregnancy
title_fullStr Arterial hypertension management in pregnancy
title_full_unstemmed Arterial hypertension management in pregnancy
title_short Arterial hypertension management in pregnancy
title_sort arterial hypertension management in pregnancy
topic arterial hypertension
pregnancy
diagnostics
pharmacotherapy
prognosis
url https://russjcardiol.elpub.ru/jour/article/view/405
work_keys_str_mv AT ristryuk arterialhypertensionmanagementinpregnancy