Mechanisms and management of hypertension in pregnant women.

Mechanisms and management of hypertension in pregnant women.
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DOI:
10.1007/s11906-011-0214-y
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发表时间:
2011-10
影响因子:
5.6
通讯作者:
Garovic, Vesna D.
Garovic, Vesna D.
中科院分区:
医学2区
文献类型:
--
作者:
Brown, Catherine M.;Garovic, Vesna D.

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高血压是怀孕期间最常见的疾病。最近的一份报告强调,高血压疾病是美国与怀孕有关的孕产妇死亡的主要原因之一。近年来,我们对先兆子痫(妊娠期特有的一种高血压)的认识取得了重大进展。妊娠期高血压疾病治疗的最佳时机和选择涉及仔细权衡每个患者的风险与获益比,总体目标是改善孕产妇和胎儿结局。在这篇综述中,我们总结了被认为涉及的机制,审查了目前的管理指南,妊娠期高血压疾病的建议,由国际指南组,并概述了一些新的观点管理。
Hypertension is the most common medical disorder encountered during pregnancy. A recent report highlighted hypertensive disorders as one of the major causes of pregnancy-related maternal deaths in the United States. Significant advances in our understanding of preeclampsia, a form of hypertension unique to pregnancy, have occurred in recent years. The optimal timing and choice of therapy for hypertensive pregnancy disorders involves carefully weighing the risk-versus-benefit ratio for each individual patient, with an overall goal of improving maternal and fetal outcomes. In this review, we summarize the mechanisms thought to be involved, review the current management guidelines for hypertensive pregnancy disorders as recommended by international guideline groups, and outline some newer perspectives on management.
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