Janků K, Bĕlobrádková J, Podrouzková B, Sochorová V, Roztocil A, Horký P
II. porodnicko-gynekologická klinika LF MU Brno.
Vnitr Lek. 1992 Nov;38(11):1072-6.
The authors revealed during dispensarization of pregnant women suffering from essential hypertension that the disease is relatively frequently associated with some metabolic disorders, i. e. obesity, gestational diabetes or impaired glucose tolerance. They draw attention to a similarity with Reaven's syndrome in non-pregnant women. The authors recommend to screen for diabetes all obese pregnant women and those with hypertension to detect an impaired glucose metabolism and prevent foetopathies in neonates of thus affected mothers. The authors consider obesity one of the subsidiary criteria in the differential diagnosis of essential hypertension and preeclampsia.
作者在对患有原发性高血压的孕妇进行检查时发现,该疾病相对频繁地与一些代谢紊乱相关,即肥胖、妊娠糖尿病或糖耐量受损。他们提请注意与非孕妇的瑞文综合征有相似之处。作者建议对所有肥胖孕妇和高血压孕妇进行糖尿病筛查,以检测糖代谢受损情况,并预防受影响母亲所生新生儿的胎儿疾病。作者认为肥胖是原发性高血压和先兆子痫鉴别诊断的次要标准之一。