医学
过度诊断
子痫前期
白大衣高血压
动态血压
血压
怀孕
妊娠高血压
产科
隐匿性高血压
产妇死亡
重症监护医学
妊娠期
儿科
内科学
人口
遗传学
环境卫生
生物
作者
В. С. Чулков,Е. С. Николенко,В. С. Чулков,Anastasia Podzolko
出处
期刊:Folia Medica
[Pensoft Publishers]
日期:2023-08-31
卷期号:65 (4): 539-545
标识
DOI:10.3897/folmed.65.e99159
摘要
Hypertensive disorders of pregnancy are a worldwide health problem for women. They cause complications in up to 10% of pregnancies and are associated with increased maternal and neonatal morbidity and mortality. Traditional blood pressure measurement in clinical practice is the most commonly used procedure for diagnosing and monitoring hypertension treatment, but it is prone to significant inaccuracies caused, on the one hand, by the inherent variability of blood pressure and, on the other, by errors arising from measurement technique and conditions. Some studies have demonstrated a better estimate of the prognosis for the development of cardiovascular diseases using ambulatory blood pressure monitoring. We can detect white-coat hypertension using this method, which helps to avoid overdiagnosis and overtreatment in many cases, and we can also detect masked hypertension, which helps to avoid underdiagnosis and a lack of prescribed treatment if needed. White-coat hypertension is not a benign condition - it has been shown to be associated with higher risks of developing preeclampsia, preterm birth, and small-for-gestational-age babies. In this regard, it is extremely important for clinicians to be aware of the risk factors and outcomes associated with this condition. Pregnant women should be medically monitored both during pregnancy and after delivery to detect target organ damage, cardiovascular risk factors, or a metabolic syndrome.
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