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- W4380450104 abstract "Abstract Background Diagnosis and successful management of preeclampsia depend on accurate and current blood pressure (BP) measurement. We will present a case of non-invasive blood pressure (NIBP) significantly under-estimated BP in a patient with chronic hypertension with superimposed preeclampsia. Case presentation A 33-year-old gravida 1, Para 0 at 27 weeks of gestation presented to the emergency room with a 14-hour history of blurred vision. She was diagnosed with chronic hypertension with superimposed preeclampsia, incomplete HELLP syndrome and abnormal umbilical cord blood flow. Magnesium sulfate and dexamethasone was administrated. Oral labeolol, nitroglycerin and urapidil were continuously infused based to control NIBP, and emergency cesarean section was planned. When she arrived at the surgery room, left radial intra-arterial blood pressure (RIBP) was 190/112 mmHg. However, the NIBP of left arm was 155/105 mmHg. Intraoperative blood pressure was managed according to the RIBP. When the patient was transferred from the transport bed to the bed of intensive care unit, the NIBP showed 120/70 mmHg, while the RIBP was 180/110 mmHg. Then treatments of spasmolysis, antihypertension and sedation were performed, and difference between the NIBP and RIBP progressively decreased. Conclusions NIBP may significantly under-estimated actual BP in severe preeclampsia patients with poorly controlled maternal BP. Invasive blood pressure monitoring of small arteries such as radial artery and dorsalis pedis artery may be benefit for effective perinatal BP control in patients with severe preeclampsia. If this can improve severe preeclampsia mother and baby’s health need further study." @default.
- W4380450104 created "2023-06-14" @default.
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- W4380450104 date "2023-06-13" @default.
- W4380450104 modified "2023-09-27" @default.
- W4380450104 title "Noninvasive blood pressure measurements significantly under-estimated blood pressure in a patient with severe preeclampsia:a case report" @default.
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- W4380450104 doi "https://doi.org/10.21203/rs.3.rs-2904776/v1" @default.
- W4380450104 hasPublicationYear "2023" @default.
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