Current perspective of treating hypertension in pregnancy

Česká verzia

Authors: M. Koucký
Authors place of work: Gynekologicko-porodnická klinika 1. lékařské fakulty UK a VFN Praha, přednosta prof. MUDr. Alois Martan, DrSc.
Published in the journal: Vnitř Lék 2011; 57(9): 728-31
Category: 65th birthday Mudr. Jany Laciné and and 60th birthday Milana Tržila

Summary

The author deals with the contemporary perspective on treatment hypertension in pregnancy. The article highlighted that hypertension treatment should be conducted not only with regard to the mother, but also to the possible negative impact on supply to the fetus. New information, particularly in the pathophysiology of pregnancy related hypertension show that in these diagnoses is vasoconstriction in placental microcirculation quite common. Inadequate treatment may have adverse effects on uteroplacental flow with potential risks to the fetus. The treatment of choice in pregnancy relatedy hypertension are methyldopa, calcium antagonists and labetalol.

Key words:
pregnancy – hypertension – preeclampsia – methyldopa

Zdroje

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