ASH Position Paper: Hypertension in Pregnancy
ASH Position Paper: Hypertension in Pregnancy
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DOI：
10.1111/j.1751-7176.2009.00085.x
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发表时间：
2009-04-01
影响因子：
2.8
通讯作者：
Cunningham, F. Gary
中科院分区：
文献类型：
--
作者：
Lindheimer, Marshall D.;Taler, Sandra J.;Cunningham, F. Gary
美国高血压学会在2008 - 2009年期间在其官方期刊上发表了一系列立场文件。以下是最初出现的立场文件：JASH。2008;2（6）：484- 494.高血压并发症占所有妊娠的5%至7%。先兆子痫的一个亚类，以新发高血压、蛋白尿和多系统受累为特征，是导致大量孕产妇和胎儿发病的原因，是未来心脏和代谢疾病的标志。这篇美国高血压协会（ASH）的立场论文总结了妊娠期高血压的临床谱，重点是先兆子痫。简要回顾了近年来有关病因学的研究进展。主题包括怀孕期间不同形式的高血压的分类，可用于预测先兆子痫的测试的状态，以及预防先兆子痫和管理这种严重疾病的策略。在妊娠期使用降压药，以及预防和治疗惊厥期的先兆子痫、子痫，用静脉注射硫酸镁也是重点。特别值得注意的是，这篇指南文章，特别要求，审查，并接受了ASH，包括征求审查意见，从美国妇产科医师学院。
The American Society of Hypertension is publishing a series of Position Papers in their official journals throughout the 2008 - 2009 years. The following Position Paper originally appeared: JASH. 2008;2(6):484-494.Hypertension complicates 5% to 7% of all pregnancies. A subset of preeclampsia, characterized by new-onset hypertension, proteinuria, and multisystem involvement, is responsible for substantial maternal and fetal morbidity and is a marker for future cardiac and metabolic disease. This American Society of Hypertension, Inc (ASH) position paper summarizes the clinical spectrum of hypertension in pregnancy, focusing on preeclampsia. Recent research breakthroughs relating to etiology are briefly reviewed. Topics include classification of the different forms of hypertension during pregnancy, status of the tests available to predict preeclampsia, and strategies to prevent preeclampsia and to manage this serious disease. The use of antihypertensive drugs in pregnancy, and the prevention and treatment of the convulsive phase of preeclampsia, eclampsia, with intravenous magnesium sulfate is also highlighted. Of special note, this guideline article, specifically requested, reviewed, and accepted by ASH, includes solicited review advice from the American College of Obstetricians and Gynecologists.