Cor Vasa 2011, 53(8-9):461-465 | DOI: 10.33678/cor.2011.115

Arterial hypertension in pregnancy: Experience from outpatient clinic for cardiovascular diseases in pregnancy

Jiří Král

Centrum pro výzkum, diagnostiku a léčbu arteriální hypertenze, III. interní klinika, Všeobecná fakultní nemocnice a 1. lékařská fakulta Univerzity Karlovy, Praha, Česká republika

Hypertensive disorders in pregnancy consist of a spectrum of conditions, including preexisting hypertension, preeclampsia/eclampsia, preeclampsia superimposed on preexisting hypertension and gestational hypertension. Arterial hypertension in pregnancy is responsible for substantial maternal and fetal morbidity and mortality. The aim of our study was to determine type, prevalence and outcome of arterial hypertension in the cohort of pregnant women controled at a specialized outpatient clinic for cardiovascular diseases in pregnancy. This was a retrospective study of pregnant women examined from January 2006 to December 2009. Fifty-two women (13%) with arterial hypertension were selected among 408 patients with 413 pregnancies. There were 35 pregnant women (67%) with preexisting hypertension, 7 women (13,5%) with gestational hypertension, 7 women with white coat hypertension. Preeclampsia was diagnosed in 3 women (6%). With one exception (caesarean section in week 36 of pregnancy), all pregnancies resulted in spontaneous labor at term. We conclude that regularly checked and treated mild to moderate arterial hypertension in pregnancy has favourable outcome in most cases.

Keywords: Arterial hypertension; Pregnancy; Prevalence; Treatment; Outcome

Published: August 1, 2011  Show citation