• CDC
  • Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

Update on Hypertension in Pregnancy

Poll

Here: at least 5 tips on hypertensive disorders during pregnancy.

A short article newly published in the American Journal of Kidney Disease reviews the classification of hypertensive disorders during pregnancy with a case study-and a quiz.1

Because primary care clinicians have clinical encounters with pregnant women, an updated review-and a quiz-seems timely.

Categories of hypertension

Table - 4 Categories of Hypertension in Pregnancy

1. Preeclampsia-eclampsia: new-onset hypertension in pregnancy (>140/90 mm Hg) with proteinuria (protein/creatinine >300mg/g) after 20 weeks of gestation.

2. Chronic hypertension: a blood pressure of >140/90 mm/Hg that predates conception or is diagnosed before 20 weeks of pregnancy.

3. A patient with chronic hypertension may also develop superimposed preeclampsia.

4. Gestational hypertension: new-onset hypertension (blood pressure >140/90 mm Hg) after 20 weeks of pregnancy without proteinuria that resolves after delivery.

 

Differentiating among these categories is important. Preeclampsia-eclampsia may be associated with serious complications and requires specialty input.

 

Which answer(s) best describe(s) the potential complications of preeclampsia-eclampsia?

A. The clinical course may be associated with acute renal failure.
B. When renal failure occurs, it is usually irreversible.
C. Preeclampsia-eclampsia may be confused with thrombotic microangiopathies (eg, TTP)
D. Unlike TTP or HUS, thrombocytopenia in preeclampsia-eclampsia is milder.
Related Videos
New Research Amplifies Impact of Social Determinants of Health on Cardiometabolic Measures Over Time
© 2024 MJH Life Sciences

All rights reserved.