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• W2016015987 abstract "La hipertensión arterial (HTA) complica el 10 % de las gestaciones y es una causa importante de morbilidad y mortalidad materna y fetal. La preeclampsia es una forma de HTA inducida por el embarazo, con etiopatogenia todavía no aclarada, presencia de vasoespasmo generalizado y expresividad clínica variable que puede traducirse simplemente en HTA ligera y proteinuria o alcanzar cuadros muy graves con trombopenia, anemia hemolítica, disfunción hepática, edema pulmonar y convulsiones (eclampsia). Muchos casos de HTA inducida por el embarazo cursan sin proteinuria y reciben el nombre de HTA gestacional. La HTA crónica es casi siempre de origen esencial, se asocia con mayor morbilidad fetal y puede complicarse con preeclampsia. El tratamiento de este tipo de HTA viene limitado por la tolerabilidad fetal a los agentes antihipertensivos. Las indicaciones sobre su uso sólo están bien reconocidas en los casos de HTA grave. La ?-metildopa sigue siendo el fármaco de elección. Hoy día se admite que la HTA en el embarazo constituye un marcador precoz de HTA esencial y también de enfermedad cardiovascular futura. High blood pressure (HBP) complicates 10 % of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is a form of hypertension induced by pregnancy, with a still unclarified etiopathogeny, presence of generalized vasospasm and variable clinical expressiveness that may simply be translated into mild HBP and proteinuria or reach very serious clinical pictures with thrombopenia, hemolytic anemia, hepatic dysfunction, pulmonary edema and seizures (eclampsia). Many cases of pregnancy-induced hypertension occur without proteinuria and receive the name of gestational HBP. Chronic HBP almost always has an essential origin, is associated with greater fetal morbidity and may be complicated with preeclampsia. Treatment of this type of hypertension is limited by fetal tolerability to antihypertensive agents. Indications on its use are only well recognized in the cases of serious BHP. a-methyldopa is still the drug of choice. Currently, it is admitted that HBP in pregnancy is an early marker of essential HBP and also of future cardiovascular disease." @default.
• W2016015987 created "2016-06-24" @default.
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• W2016015987 date "2006-01-01" @default.
• W2016015987 modified "2023-09-25" @default.
• W2016015987 title "Hipertensión arterial y embarazo" @default.
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• W2016015987 doi "https://doi.org/10.1016/s1889-1837(06)71641-5" @default.
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