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Secondary Hypertension in Pregnancy
1New York University School of Medicine, 550 First Avenue-OBV A600, New York, NY, 10016, USA, line.malha@nyumc.org.
Current Hypertension Reports
|June 13, 2015
Summary
Secondary hypertension in pregnancy poses risks to mothers and fetuses. Diagnosing and treating conditions like renovascular hypertension before pregnancy is crucial for better outcomes.
Area of Science:
- Obstetrics and Gynecology
- Nephrology
- Endocrinology
Background:
- Hypertension is a frequent pregnancy complication.
- While most essential hypertension cases are uncomplicated, secondary hypertension significantly increases maternal and fetal risks.
Purpose of the Study:
- To highlight the risks associated with secondary hypertension during pregnancy.
- To emphasize the importance of pre-conception diagnosis and treatment of secondary hypertension.
Main Methods:
- Review of existing literature on secondary hypertension in pregnancy.
- Analysis of maternal and fetal outcomes associated with specific secondary hypertension causes.
Main Results:
- Secondary hypertension, particularly renovascular hypertension, pheochromocytoma, and Cushing's syndrome, is linked to accelerated hypertension, superimposed preeclampsia, preterm birth, and fetal loss.
- Primary aldosteronism presents varied outcomes, with some cases showing improvement due to progesterone, while others experience worsening hypertension and early delivery.
Conclusions:
- Pre-conception diagnosis and management of secondary hypertension are vital.
- Timely intervention can mitigate severe maternal and fetal complications associated with pregnancy-related hypertension.
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