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Related Concept Videos

Hypertension I: Introduction01:28

Hypertension I: Introduction

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Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Alterations in Blood Pressure01:30

Alterations in Blood Pressure

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Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
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Hypertension and Regulation of Blood Pressure01:18

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Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
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Hormonal Regulation01:33

Hormonal Regulation

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The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
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Management of hypertensive disorders in pregnancy.

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Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
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Hypertensive Emergencies in Pregnancy.

Courtney Olson-Chen1, Neil S Seligman1

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA.

Critical Care Clinics
|November 25, 2015
PubMed
Summary

Hypertensive disorders in pregnancy are rising, with poorly understood causes. While treating severe hypertension prevents organ damage, it doesn't affect preeclampsia rates, highlighting the need for better management strategies.

Keywords:
Antihypertensive medicationsGestational hypertensionHypertensive disordersPreeclampsiaPregnancy

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Area of Science:

  • Obstetrics and Gynecology
  • Cardiology
  • Perinatology

Background:

  • Hypertensive disorders of pregnancy (HDP) are increasingly prevalent globally.
  • These conditions represent a significant source of maternal and perinatal morbidity and mortality.
  • The underlying etiology and pathophysiology of HDP remain incompletely elucidated.

Purpose of the Study:

  • To summarize the current understanding of hypertensive disorders in pregnancy.
  • To highlight the impact of hypertension treatment on maternal and perinatal outcomes.
  • To emphasize the importance of comprehensive management strategies for HDP.

Main Methods:

  • Review of existing literature on hypertensive disorders in pregnancy.
  • Analysis of the effects of antihypertensive treatment on maternal and fetal outcomes.
  • Discussion of clinical management guidelines for antepartum, intrapartum, and postpartum care.

Main Results:

  • Treatment of severe hypertension effectively reduces maternal end-organ damage.
  • Current antihypertensive treatments do not alter the incidence of preeclampsia or other pregnancy complications.
  • There is a notable scarcity of randomized controlled trials for antihypertensive medications used during pregnancy.

Conclusions:

  • Immediate treatment of severe hypertension is crucial for preventing maternal complications.
  • Effective antepartum, intrapartum, and postpartum management is essential for patients with HDP.
  • Further research, including robust clinical trials, is needed to improve understanding and treatment of HDP.