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Review
. 2024 Mar 14;20(2):4-12.
doi: 10.14797/mdcvj.1305. eCollection 2024.

Hypertensive Disorders of Pregnancy

Courtney Newman  1 , Victoria Petruzzi  1 , Pedro T Ramirez  2 , Christopher Hobday  1
Affiliations
Review

Hypertensive Disorders of Pregnancy

Courtney Newman et al. Methodist Debakey Cardiovasc J. .

Abstract

According to the American College of Obstetricians and Gynecologists (ACOG), women who have a systolic blood pressure ≥ 140 mm Hg and/or a diastolic pressure ≥ 90 mm Hg before pregnancy or before 20 weeks of gestation have chronic hypertension. Up to 1.5% of women in their childbearing years have a diagnosis of chronic hypertension, and 16% of pregnant women develop hypertension during their pregnancy. Physiological cardiovascular changes from pregnancy may mask or exacerbate hypertensive diseases during gestation, which is why prepregnancy counseling is emphasized for all patients to optimize comorbidities and establish a patient's baseline blood pressure. This review provides an overview of the diagnoses and treatments of hypertensive diseases that can occur in pregnancy, including definitions of key terms and types of hypertension as well as ACOG recommendations.

Keywords: chronic hypertension; preeclampsia; pregnancy.

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Conflict of interest statement

The authors have no competing interests to declare.

References

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