Value of ambulatory blood pressure measure in pregnancy hypertension
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Abstract
It is still not well known the prognostic cardiovascular value of 24h ambulatory blood pressure monitoring in the pregnant woman with hypertension.
Objectives: Assess to the prognostic value of ABPM parameters in predicting maternofetal event.
Methods: Retrospective and observational study which included 166 pregnant women.
Results: The authors found that the night time DBP was the best predictor of adverse events. Non-dipper profile had worse survival at follow up until delivery compared to those with a dipper profile.
Conclusions: ABPM is a tool for pregnant with HT because this is the unique method available that analyses the night blood pressure.
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Copyright (c) 2018 Correia AD, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
European Society of Gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German Society for Gender Medicine (DGesGM), Regitz-Zagrosek V, Blomstrom Lundqvist C, et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 2011; 32: 3147–3197. Ref.: https://goo.gl/dQjGjh
American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Obstet Gynecol 2013; 1022:1122. Ref.: https://goo.gl/48PhK2
Hermida RC, Ayala DE, Calvo C. Valor de la monitorización ambulatoria de la presión arterial en la predicción de daño en órganos diana e incidencia de eventos cardiovasculares. Nefrología 2002; 22: Suppl 3. 59-67. Ref.: https://goo.gl/zH35BK
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Zampi Im et al, White coat hypertension and white coat effect. Similarities and differences. Am J Hypertens. 1995; 8:790-798. https://goo.gl/gTaSB2
Huang Y, Huang W, Mai W, Cai X, An D, et al. White-coat hypertension is a risk factor for cardiovascular diseases and total mortality. J Hypertens. 2017; 35:677-688. Ref.: https://goo.gl/q5yXJd
Ogedegbe G, Pickering T. Principles and techniques of blood pressure measurement. Cardiol Clin. 2010; 28: 571-586. Ref.: https://goo.gl/2Jm4PQ
Nobre F, Mion Junior D. Ambulatory Blood Pressure Monitoring: Five Decades of More Light and Less Shadows. Arq Bras Cardiol. 2016; 106: 528-537. Ref.: https://goo.gl/nhL3gF
The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). 2013 ESH/ESC Guidelines for the management of arterial hypertension. European Heart Journal 2013; 34: 2159–2219. Ref.: https://goo.gl/ZePVBt
Gongora MC, Wenger NK. Cardiovascular Complications of Pregnancy. Int J Mol Sci. 2015; 9-16: 23905-23928. Ref.: https://goo.gl/sjJqDn
Kintiraki E, Papakatsika S, Kotronis G, Goulis DG, Kotsis V. Pregnancy-Induced hypertension. Hormones (Athens)2015; 14: 211-223. Ref.: https://goo.gl/Pqx48x
Gupta HP, Singh RK, Singh U, Mehrotra S, Verma NS, et al. Circadian pattern of blood pressure in normal pregnancy and preeclampsia. J Obstet Gynaecol India 2011; 61: 413-417. Ref.: https://goo.gl/bPAMiQ
Bilo G, Parati G. Ambulatory blood pressure monitoring: a mandatory approach in high-risk pregnancy? J Hypertens 2016; 34: 2140-2142. Ref.: https://goo.gl/EbvPV3
Salazar MR, Espeche WG, Leiva Sisnieguez BC, Balbín E, Leiva Sisnieguez CE, et al. Significance of masked and nocturnal hypertension in normotensive women coursing a high-risk pregnancy. J Hypertens 2016; 34: 2248-2252. Ref.: https://goo.gl/6pUxFy
Brown MA. Is there a role for ambulatory blood pressure monitoring in pregnancy? Clin Exp Pharmacol Physiol 2014; 41: 16-21. Ref.: https://goo.gl/UXchdu
Mesquita-Bastos J, Bertoquini S, Polónia J. Cardiovascular prognostic value of ambulatory blood pressure monitoring in a Portuguese hypertensive population followed up for 8.2 years. Blood Press Monit 2010; 15: 240-246. Ref.: https://goo.gl/hgdxGF