Abstract
Acute-onset, severe systolic or diastolic hypertension can occur during pregnancy or in the postpartum period. The American College of Obstetricians and Gynecologists Taskforce on Hypertension during pregnancy recently modified the diagnosis and management of hypertension, describing a hypertensive emergency in pregnancy as persistent (≥ 15 min), acute-onset, severe hypertension, defined as a systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 110 mmHg. Pregnancy can be complicated by a hypertensive emergency with a lower blood pressure threshold for end-organ damage than non-pregnant patients. Labetalol, hydralazine and nifedipine are all considered first-line anti-hypertensive agents for the treatment of severe hypertension. The objective of this article is to review the current understanding, diagnosis and management of a hypertensive emergency during pregnancy or postpartum.
Keywords: Anti-hypertensive, hypertension, hypertensive crisis, hypertensive emergency, pre-eclampsia, pregnancy.
Graphical Abstract
Call for Papers in Thematic Issues
RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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