2022, Supplement 3
Cardiovasc Metab Sci 2022; 33 (S3)
Management of high blood pressure during all-trimesters of pregnancy
Múnera-Echeverri, Ana G; Ruiz-Gastelum, Edith
ABSTRACT
High blood pressure (HBP) disorders of pregnancy are one of the leading causes of morbidity during pregnancy along with maternal-fetal mortality in developing countries. In this work, we discuss the physiopathology, diagnostic assessment, and treatment and prevention strategies focused on diminishing the burden of hypertensive disorders of pregnancy at all-care levels. Most of the current guidelines encourage to perform an adequate assessment in every woman living with chronic HBP prior to pregnancy. Preeclampsia stands for a multisystemic, multifactorial, dynamic, and progressive disease that could appear at any gestation week. Furthermore, an adequate assessment of any hypertensive disorder of pregnancy is needed to prevent acute and long-term complications related these diseases. Pharmacological management should be based on clinical manifestations at the moment of evaluation. All woman with hypertensive disorder during pregnancy had an increased cardiovascular risk, therefore, continuous follow-up management is highly recommended.