妊娠期高血压疾病：文献综述--病理生理学、当前管理、未来展望和医疗差距

Q4 Medicine

US Cardiology Review Pub Date : 2024-02-12 DOI:10.15420/usc.2023.01

Ariana Traub, Apoorva Sharma, M. C. Gongora

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引用次数: 0

摘要

在美国，孕产妇死亡率持续上升，而妊娠高血压疾病（HDP）仍然是发病和死亡的主要原因之一。本文综述了不同形式妊娠高血压的定义、分类和病理生理学，这些疾病的当前管理，这些疾病在患病率和管理方面的差异，以及改善妊娠高血压预后和消除差异以降低孕产妇发病率和死亡率的潜在策略。目前的管理方法倾向于以更保守的方式治疗妊娠期轻度慢性高血压（140-160/90-100 mmHg）。然而，最近的数据表明，积极治疗轻度慢性高血压可改善与妊娠相关的母胎结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hypertensive Disorders of Pregnancy: A Literature Review – Pathophysiology, Current Management, Future Perspectives, and Healthcare Disparities

Maternal mortality continues to increase in the US, with hypertensive disorders of pregnancy (HDP) remaining one of the leading causes of morbidity and mortality. In this article, the definition, classification, and pathophysiology of the different forms of HDP, current management of these disorders, disparities in prevalence and management of these conditions, and potential strategies to improve HDP outcomes and combat disparities to reduce maternal morbidity and mortality are reviewed. Current management favors a more conservative approach to treating mild chronic hypertension (140–160/90–100 mmHg) in pregnancy. However, recent data suggests active treatment of mild chronic hypertension improves maternofetal pregnancy related outcomes.

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来源期刊

US Cardiology Review Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： US Cardiology Review (USC) is an international, US-English language, peer-reviewed journal that is published bi-annually and aims to assist time-pressured physicians to stay abreast of key advances and opinion in the area of cardiovascular disease. The journal comprises balanced and comprehensive review articles written by leading authorities. The journal provides updates on a range of salient issues to support physicians in developing their knowledge and effectiveness in day-to-day clinical practice. The journal endeavours to support the continuous medical education of specialist and general cardiologists and disseminate knowledge of the field to the wider cardiovascular community.