Denolle Thierry
Hôpital Arthur-Gardiner, centre d'excellence en HTA, 35800 Dinard, France.
Presse Med. 2016 Jul-Aug;45(7-8 Pt 1):622-6. doi: 10.1016/j.lpm.2016.04.013. Epub 2016 May 18.
Hypertension during pregnancy is associated with high perinatal morbidity and mortality. The prevalence of white coat hypertension is high during pregnancy and is associated with a good prognosis and must be excluded. The definition of hypertension during pregnancy is office BP≥140/90mmHg and ≥135/85mmHg with home BP and diurnal ambulatory BP. How to use HBPM during pregnancy? To get an adapted and validated BP humeral device during pregnancy; to use it in good conditions with the "3 rules". When to use HBPM during pregnancy? To confirm the diagnosis of hypertension; to monitor BP during pregnancy and to alert the obstetrician when severe hypertension occurs; to manage BP treatment and avoid excessive treatment. HBP and ABP monitoring may be used to exclude white coat effect but HBPM must be preferred when prolonged use.
妊娠期高血压与高围产期发病率和死亡率相关。妊娠期白大衣高血压的患病率很高,且预后良好,必须予以排除。妊娠期高血压的定义为诊室血压≥140/90mmHg,家庭血压和日间动态血压≥135/85mmHg。妊娠期如何使用家庭血压监测(HBPM)?在妊娠期获得一种适用且经过验证的肱动脉血压测量设备;按照“三条规则”在良好条件下使用。妊娠期何时使用HBPM?用于确诊高血压;在妊娠期监测血压,并在发生严重高血压时提醒产科医生;管理血压治疗并避免过度治疗。家庭血压(HBP)和动态血压(ABP)监测可用于排除白大衣效应,但长期使用时首选HBPM。