[Therapy in severe forms of pregnancy-induced arterial hypertension]

We have studied types of hemodynamics and results of arterial hypertension intensive care in 136 pregnant women in 32-38 weeks of gestation. Stroke and cardiac indexes, general peripheral vascular resistance, mean arterial pressure, cardiac work and other hemodynamic parameters were investigated by echocardiographic method. We worked out regression equations for each type of hemodynamics. Rational regimens of arterial hypertension therapy were selected according to hemodynamics types. In the hyperkinetic type a combination of propranolol with nifedipine was used, in eukinetic type--methyldopa with nifedipine and in hypokinetic type--clonidine with nifedipine. Using individualized therapy of arterial hypertension in women with gestoses we succeeded in improving the results of intensive care as a component of preparation for anesthesia in delivery ahead of time by cesarean section as well as in normal delivery at term.