妊娠高血压疾病。

Columbia University Vagelos College of Physicians & Surgeons, 622 West 168th Street, PH 3-342, New York, NY 10032, USA.

Department of Medicine, Division of Cardiology, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, 622 West 168th Street, PH 3-342, New York, NY 10032, USA.

Cardiol Clin. 2021 Feb;39(1):77-90. doi: 10.1016/j.ccl.2020.09.005. Epub 2020 Nov 2.

Hypertension is the most common medical disorder occurring during pregnancy and a leading cause of maternal and perinatal morbidity and mortality. Accurate blood pressure measurement and the diagnosis and treatment of hypertensive disorders during pregnancy and in the postpartum period are pivotal to improve outcomes. This article details hemodynamic adaptations to pregnancy and provides an approach to the prevention, diagnosis, and management of hypertensive disorders of pregnancy (HDP) and hypertensive emergencies. In addition, it reviews optimal strategies for the care of women with hypertension during the fourth trimester and beyond to minimize future cardiovascular risk.

高血压是妊娠期间最常见的医学疾病，也是孕产妇发病率和围生儿死亡率的主要原因。准确测量血压以及在妊娠和产后期间诊断和治疗高血压疾病对于改善母婴结局至关重要。本文详细介绍了妊娠期间的血液动力学适应，并提供了一种预防、诊断和管理妊娠高血压疾病（HDP）和高血压急症的方法。此外，还回顾了在第四孕期及以后护理高血压女性的最佳策略，以最大限度地降低未来心血管风险。