[产后新发高血压疾病:关于诊断、风险因素和潜在干预策略的考虑]。

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Hipertension y Riesgo Vascular Pub Date : 2025-01-01 DOI:10.1016/j.hipert.2024.09.001
P.G. Irusta
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引用次数: 0

摘要

产后新发动脉高血压(PPDNAH)的定义是血压≥140/90mmHg,且在怀孕或分娩期间没有高血压病史。其发病率占所有妊娠的 0.3% 至 27.5%。晚发性产后子痫前期(LOPPP)和晚发性产后子痫(LOPPE)通常发生在产后 48 小时至 6 周之间,但最近的研究表明,这些疾病有可能在产后 12 个月内发生。虽然与妊娠相关疾病具有相同的风险因素,但它们在某些方面(如初产妇身份)有所不同。在预后方面,与妊娠期高血压疾病相比,产妇的严重发病率有所上升。这类病症往往诊断不足,甚至在高危患者中也是如此,因此必须及早发现并进行严格的血压监测。
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Trastornos hipertensivos de novo en el posparto: consideraciones sobre su diagnóstico, factores de riesgo y posibles estrategias de intervención
Postpartum de novo arterial hypertension (PPDNAH) is defined as blood pressure ≥140/90 mmHg, without a history of hypertension during pregnancy or delivery. Its prevalence ranges from 0.3% to 27.5% of all pregnancies. Late-onset postpartum preeclampsia (LOPPP) and late-onset postpartum eclampsia (LOPPE) typically occur between 48 hours and 6 weeks postpartum, although recent studies demonstrate the possibility of developing these disorders up to 12 months postpartum.
While sharing risk factors with pregnancy-related disorders, they differ in some aspects such as primigravida status. Regarding prognosis, an increase in severe maternal morbidity has been observed compared to hypertensive disorders of pregnancy.
This group of pathologies is often underdiagnosed, even in high-risk patients, making early identification along with strict blood pressure monitoring essential.
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来源期刊
Hipertension y Riesgo Vascular
Hipertension y Riesgo Vascular Medicine-Internal Medicine
CiteScore
1.70
自引率
16.70%
发文量
38
审稿时长
39 days
期刊介绍: La mejor publicación para mantenerse al día en los avances de la lucha contra esta patología. Incluye artículos de Investigación, Originales, Revisiones, Casos clínicos, Aplicación práctica y Resúmenes comentados a la bibliografía internacional. Además, es la Publicación Oficial de la Sociedad española de Hipertensión-Liga Española para la Lucha contra la Hipertensión Arterial.
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