Wojciechowska Ewa, Sobieraj Piotr, Siński Maciej, Zaborska-Dworak Maria Anna, Gryglas Piotr, Lewandowski Jacek
Department of Internal Medicine, Hypertension and Vascular Diseases, Medical University of Warsaw, 1a Banacha Street, 02097 Warsaw, Poland.
J Clin Med. 2022 Aug 29;11(17):5065. doi: 10.3390/jcm11175065.
Adequate control of blood pressure (BP) is essential to prevent complications in pregnant women with a history of eclampsia or pre-eclampsia. However, the importance of office (OBPM), home (HBPM), and ambulatory (ABPM) BP measurements for proper control and prognosis in high-risk pregnancy is unknown. The present study aimed to compare BP values obtained during these three different BP measurements in women with a history of eclampsia or pre-eclampsia. This study included 79 pregnant women with chronic hypertension and a documented history of eclampsia or pre-eclampsia in previous pregnancy/pregnancies. Every fifth week of the study, all participants underwent ABPM, HBPM and OBPM. BP values from the 10th, 25th, and 37th weeks of pregnancy were evaluated. Therapy was intended to meet the ABPM treatment goal of <130/80 mmHg. Day, night, and 24 h ABPM systolic BP values were lower than HBPM and OBPM values at each study visit. Night and 24 h ABPM diastolic BP values were lower than HBPM and OBPM values, while day 24 h ABPM values were slightly higher than HBPM and OBPM values. ABPM provides different BP values than OBPM and HBPM. Target BP for ABPM in high-risk pregnancy hypertension should be estimated based on the predictive value of adverse pregnancy outcomes.
充分控制血压对于预防有子痫或子痫前期病史的孕妇出现并发症至关重要。然而，诊室血压测量（OBPM）、家庭血压测量（HBPM）和动态血压监测（ABPM）在高危妊娠的恰当控制和预后方面的重要性尚不清楚。本研究旨在比较有子痫或子痫前期病史的女性在这三种不同血压测量方法下获得的血压值。本研究纳入了79例慢性高血压孕妇，且她们在前次妊娠中有子痫或子痫前期的记录。在研究的每五周，所有参与者均接受动态血压监测、家庭血压测量和诊室血压测量。对妊娠第10周、第25周和第37周的血压值进行评估。治疗旨在达到动态血压监测的治疗目标<130/80 mmHg。在每次研究访视时，动态血压监测的日间、夜间和24小时收缩压值均低于家庭血压测量和诊室血压测量值。动态血压监测的夜间和24小时舒张压值低于家庭血压测量和诊室血压测量值，而动态血压监测的日间24小时血压值略高于家庭血压测量和诊室血压测量值。动态血压监测提供的血压值与诊室血压测量和家庭血压测量不同。高危妊娠高血压患者动态血压监测的目标血压应根据不良妊娠结局的预测价值来估计。
