| Journal: | Archivos de cardiología de México |
| Database: | PERIÓDICA |
| System number: | 000317311 |
| ISSN: | 1405-9940 |
| Authors: | Rosas, Martín1 Lomelí, Catalina Mendoza González, Celso Lorenzo, José Antonio Méndez, Arturo Férez Santander, Sergio Mario Attie, Fause |
| Institutions: | 1Instituto Nacional de Cardiología Ignacio Chávez, México, Distrito Federal. México |
| Year: | 2008 |
| Season: | Abr-Jun |
| Volumen: | 78 |
| Pages: | 104-108 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Descriptivo |
| Spanish abstract | La evidencia acumulada indica que la hipertensión en el embarazo es una entidad subdiagnosticada y frecuentemente no bien tratada, dando origen a complicaciones cardiovasculares graves. La hipertensión que ocurre durante la gestación puede dar lugar a preeclampsia o a situaciones graves como la eclampsia y el síndrome de HELLP. Además se reconoce que las mujeres que desarrollaron hipertensión durante la gestación, tienen incremento en la posibilidad de desarrollar eventos cardiovasculares mayores, aun cuando la presión arterial haya vuelto a cifras normales en el postparto. De acuerdo con nuestras recomendaciones, la mujer con hipertensión gestacional debe tener mayor vigilancia y someterse a estudios de estratificación de riesgo cardiovascular por lo menos una vez al año. Si además se asocia a obesidad y otros factores de riesgo cardiovascular su probabilidad de desarrollar eventos graves después de la menopausia han sido sugeridos. En estas guías presentamos las hipótesis más recientes y algunas recomendaciones para su manejo integral |
| English abstract | Increasing evidence indicates that hypertension in pregnancy is an under recognized risk factor for cardiovascular disease (CVD). Compared with women who have had normotensive pregnancies, those who are hypertensive during pregnancy are at greater risk of cardiovascular and cerebrovascular events and have a less favorable overall risk profile for CVD years after the affected pregnancies. One factor that might underlie this relationship is that hypertensive disorders of pregnancy (pre-eclampsia, in particular) and CVD share several common risk factors (e.g. obesity, diabetes mellitus and renal disease). Alternatively, hypertension in pregnancy could induce long-term metabolic and vascular abnormalities that might increase the overall risk of CVD later in life. In both cases, evidence regarding risk-reduction interventions specific to women who have had hypertensive pregnancies is lacking. While awaiting results of large-scale studies, hypertensive disorders of pregnancy should be screened for during assessment of a woman's overall risk profile for CVD. Women at high risk must be monitored closely for conventional risk factors that are common to both CVD and hypertensive disorders of pregnancy and treated according to current evidence- based national guidelines |
| Disciplines: | Medicina |
| Keyword: | Ginecología y obstetricia, Sistema cardiovascular, Terapéutica y rehabilitación, Hipertensión arterial, Embarazo, Preeclampsia, Eclampsia, Control |
| Keyword: | Medicine, Cardiovascular system, Gynecology and obstetrics, Therapeutics and rehabilitation, Arterial hypertension, Pregnancy, Preeclampsia, Eclampsia, Control |
| Full text: | Texto completo (Ver HTML) |
