Oyati Albert Imhoagene, Danbauchi Solomon Sulei, Isa Mohammed Sani, Alhassan Mohammed Ahmed, Sani Bala Garko, Anyiam Chinasaokwu Amajuoyi, Bosan Istifanus Bala, David Samuel Olorunfemi
Cardiology Unit, Department of Medicine, Ahmadu Bello University Teaching Hospital Zaria, Nigeria.
Ann Afr Med. 2008 Sep;7(3):133-7. doi: 10.4103/1596-3519.55664.
Patients with pre-eclampsia and eclampsia constitute a special high risk group for future hypertension. They require a long term follow up to be able to detect and treat emerging hypertension early enough to prevent complications. Unfortunately, this is not so. This study was undertaken to find out the incidence of history of pre-eclamptic toxaemia (PET) in our female hypertensive patients attending cardiac clinic and to also determine the incidence of complications of hypertension in those with previous history of PET.
Fifty consecutive female hypertensive patients seen in cardiac clinic were recruited. Detailed history including full obstetric and family history was taken. A full clinical examination was done including blood pressure and a search for complications of hypertension. Findings were then analyzed and various frequencies determined.
Forty-nine patients were studied. The mean age was 47.29 +/- 11.46 years. The mean SBP, DBP and MAP were 143.18 +/- 25.05, 90.49 +/- 14.19 and 108.12 +/- 16.71 mmHg respectively. Between the last child birth and the time of established hypertension in those who had PET ranged from 3-25 years. Sixteen, (32.7%) of the 49 patients had history of PET and 7(43.75%) of these 16 patients had complications of hypertension.
The incidence of history of PET in our female hypertensive patients attending cardiac clinic is significant (32.7%). Also the 43.8% incidence of complications of hypertension seen in those patients with history of PET in this study is high. PET patients, therefore, constitute a special risk group for future hypertension. Therefore collaboration between the Obstetricians and the Cardiologists is important for patients with PET and eclampsia.
先兆子痫和子痫患者是未来发生高血压的特殊高危人群。他们需要长期随访，以便能够尽早发现并治疗新发高血压，从而预防并发症。遗憾的是，实际并非如此。本研究旨在查明在我院心脏科就诊的女性高血压患者中先兆子痫中毒症（PET）病史的发生率，并确定既往有PET病史患者的高血压并发症发生率。
招募了在心脏科连续就诊的50例女性高血压患者。详细询问病史，包括完整的产科和家族史。进行全面的临床检查，包括测量血压以及查找高血压并发症。然后对检查结果进行分析并确定各种频率。
对49例患者进行了研究。平均年龄为47.29±11.46岁。平均收缩压、舒张压和平均动脉压分别为143.18±25.05 mmHg、90.49±14.19 mmHg和108.12±16.71 mmHg。有PET病史的患者，从上一次分娩到确诊高血压的时间间隔为3至25年。49例患者中有16例（32.7%）有PET病史，这16例患者中有7例（43.75%）出现了高血压并发症。
在我院心脏科就诊的女性高血压患者中，PET病史的发生率较高（32.7%）。此外，本研究中既往有PET病史的患者高血压并发症发生率高达43.8%。因此，PET患者是未来发生高血压的特殊风险人群。所以，产科医生和心脏病专家之间的合作对于PET和子痫患者很重要。
