[Primary hypertension, positive family history and pregnancy]

The greatest belief that the group of patients with primary hypertension is heterogeneous and the progress which took place in the last few years in the research study concerning primary hypertension induced to recapitulation of the given data to asses the influence of the primary hypertension on the pregnant woman and the fetus. The study presented with clinical data claims that 50% of women with mild and moderate primary hypertension showed spontaneous reduction of blood pressure levels in the first months of pregnancy. The results should be taken under consideration when treating the hypertension. Simultaneously, at present the medicine does not posses the ability to indicate the type of hypertension which manifests itself in the second half of pregnancy, it is being proposed to monitor the evaluation of the renin-angiotensin-aldosterone system during pregnancy, as being helpful to the physician. All the study concerning the activity of the RAA system during pregnancy with the pregnancy induced hypertension showed remarkably lower growth levels with the gestational age unlike the pregnancy with the primary hypertension. The mild as well as moderate primary hypertension does not implicate any danger to the woman nor the fetus. But the simultaneous incidence of the pregnancy induced hypertension deteriorates the prognosis for both the woman and the fetus. The most sensitive prognostic factor for the pregnant woman with primary hypertension is the evaluation of the blood pressure levels in the first half of pregnancy. The study also covers the importance of the arterial hypertension family history among both healthy and those with primary hypertension pregnant women.