Possibilities for the early detection of hypertensive disease in pregnant women
https://doi.org/10.17650/1818-8338-2012-3-4-23-27
Abstract
Objective: to evaluate morphofunctional changes in the cardiovascular system of pregnant women with arterial hypertension (AH) to detect
chronic AH - hypertensive disease.
Subjects and methods. 126 pregnant women with AH (at 28–34 weeks gestation; mean age 26.1 ± 1.7 years) were examined. All the pregnant
women underwent assessment of risk factors for AH, double measurement of office blood pressure, 24-hour blood pressure monitoring, electrocardiography, carotid ultrasonography, a microalbumin urine test, and eyeground examination. The pattern of AH was specified 12 weeks after childbirth.
Results. Chronic AH – hypertensive disease – was diagnosed in 51 % of the examined pregnant women with AH. There was a considerable spread of risk factors for AH in this patient group. 26 % of them were found to have lesions of target organs (heart and/or arterial vessels); the rate of microalbuminuria registration was 41 %.
Conclusion. Among our examined group of pregnant patients with AH, the prevalence of hypertensive disease is 51 %. In the identified patient
group, cardiac and arterial vascular changes that could be considered as target organ lesions were found in almost a third of cases. Pregnant women with AH need to be meticulously examined and followed up by a therapist and a cardiologist in the postpartum period.
About the Authors
Ye. B. Savinova
North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia
Russian Federation
Russian Federation
L. A. Sokolova
North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia
Russian Federation
Russian Federation
S. V. Serdyukov
North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia
Russian Federation
Russian Federation
Ye. L. Nezhentseva
North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia
Russian Federation
Russian Federation
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Review
For citations:
Savinova Ye.B., Sokolova L.A., Serdyukov S.V., Nezhentseva Ye.L. Possibilities for the early detection of hypertensive disease in pregnant women. The Clinician. 2012;6(3-4):23-27. (In Russ.) https://doi.org/10.17650/1818-8338-2012-3-4-23-27
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