Hypertensive Emergencies in Pregnancy

Olson-Chen, Courtney; Seligman, Neil S.

doi:10.1016/j.ccc.2015.08.006

Cited by 44 publications

(32 citation statements)

References 39 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hypertensive disorders of pregnancy (HDPs) are the most common complications of pregnancy estimated to affect approximately 5%–15% of all pregnancies. 1 2 HDPs are classified into four categories, as recommended by the International Society for the Study of Hypertension in Pregnancy 3 : ‘chronic hypertension’, ‘gestational hypertension’, ‘pre-eclampsia—de novo or superimposed on chronic hypertension’ and ‘white coat hypertension’. While HDPs are not fully understood, risk factors include advanced maternal age and elevated body mass index, both of which are increasingly common in modern society.…”

Section: Introductionmentioning

confidence: 99%

Hypertensive disorders of pregnancy and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis protocol

et al. 2017

View full text Add to dashboard Cite

IntroductionHypertensive disorders of pregnancy (HDPs), that is chronic hypertension, gestational hypertension, pre-eclampsia (de novo or superimposed on chronic hypertension) and white coat hypertension, affect approximately 5%–15% of pregnancies. HDP exposure has been linked to an increased risk of autism spectrum disorder, attention deficit/hyperactivity disorder and other neurodevelopmental disorders in children. However, findings are inconsistent, and a clear consensus on the impact of HDPs on the risk of neurodevelopmental disorders is needed. Therefore, we aim to synthesise the published literature on the relationship between HDPs and the risk of neurodevelopmental disorders in the form of a systematic review and meta-analysis.Methods and analysisWe will include cohort, case–control and cross-sectional studies in which diagnosis of an HDP was reported, and neurodevelopmental disorders were the outcome of interest based on a preprepared protocol. A systematic search of PubMed, CINAHL, Embase, PsycINFO and Web of Science will be conducted in accordance with a detailed search strategy. Two authors will independently review the titles and abstracts of all studies, perform data extraction using a standardised data collection form and assess study quality using a bias classification tool. Meta-analyses will be performed to calculate overall pooled estimates using the generic inverse variance method. This systematic review will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses.Ethics and disseminationThis proposed systematic review and meta-analysis is based on published data, therefore, does not require ethics approval. Findings will be presented at scientific conferences and disseminated through publication in a peer-reviewed journal.RegistrationCRD42017068258.

show abstract

Section: Introductionmentioning

confidence: 99%

Hypertensive disorders of pregnancy and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis protocol

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In addition to biological causes of hypertension, various social factors contribute to developing hypertension. Studies have associated racism and segregation with hypertension across populations [42] and among pregnant women [43]. Such studies suggest that place matters for pregnancy health.…”

Section: Variablesmentioning

confidence: 99%

Spatial Analytics Based on Confidential Data for Strategic Planning in Urban Health Departments

2019

View full text Add to dashboard Cite

Spatial data analytics can detect patterns of clustering of events in small geographies across an urban region. This study presents and demonstrates a robust research design to study the longitudinal stability of spatial clustering with small case numbers per census tract and assess the clustering changes over time across the urban environment to better inform public health policy making at the community level. We argue this analysis enables the greater efficiency of public health departments, while leveraging existing data and preserving citizen personal privacy. Analysis at the census tract level is conducted in Mecklenburg County, North Carolina, on hypertension during pregnancy compiled from 2011–2014 birth certificates. Data were derived from per year and per multi-year moving counts by aggregating spatially to census tracts and then assessed for clustering using global Moran’s I. With evidence of clustering, local indicators of spatial association are calculated to pinpoint hot spots, while time series data identified hot spot changes. Knowledge regarding the geographical distribution of diseases is essential in public health to define strategies that improve the health of populations and quality of life. Our findings support that spatial aggregation at the census tract level contributes to identifying the location of at-risk “hot spot” communities to refine health programs, while temporal windowing reduces random noise effects on spatial clustering patterns. With tight state budgets limiting health departments’ funds, using geographic analytics provides for a targeted and efficient approach to health resource planning.

show abstract

“…The target systolic blood pressure in eclamptic or preeclamptic women is below 140 mmHg within the first hour. 49 Hydralazine, labetalol, and nicardipine are the medication of choice in the treatment of this hypertensive emergency. 1,38,47 Inhibitors of the renin-angiotensin-al- In subjects with spontaneous intracerebral hemorrhage presenting within the first 6 hours from onset, with a systolic BP ranging from 150 to 220 mmHg, immediate lowering of systolic BP below 140 mmHg can be potentially harmful.…”

Section: Acute Aortic Dissectionmentioning

confidence: 99%

“…dosterone system, as well as nitroprusside are contraindicated in the treatment of hypertensive emergencies occurring in pregnant women. If the thrombocyte number is less than 100.000 cells/mm 3 , the BP should be maintained below 150/100 mm Hg 1,49. PERIOPERATIVE HYPERTENSIONPerioperative hypertension is defined as a BP of 160/90 mmHg or higher or an SBP elevation of at least 20% of the preoperative value, that persists for longer than 15 minutes.Intraoperative hypertension is most frequently encountered during anesthesia induction and airway manipulation 50.…”

mentioning

confidence: 99%

An Updated Review of Hypertensive Emergencies and Urgencies

Makó

Ureche

Jeremiás

2018

Journal of Cardiovascular Emergencies

View full text Add to dashboard Cite

A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary hypertension, or it may develop spontaneously. The most frequent cause for the severe and sudden increase in BP is inadequate dosing or stopping antihypertensive treatment in hypertensive patients. Severe hypertension can be defined as either a hypertensive emergency or an urgency, depending on the existence of organ damage. In hypertensive urgencies, there are no signs of acute end-organ damage, and orally administered drugs might be sufficient. In hypertensive emergencies, signs of acute end-organ damage are present, and in these cases, quickly-acting parenteral drugs must be used. The prompt recognition, assessment, and treatment of hypertensive urgencies and emergencies can decrease target organ damage and mortality. In this review, the definitions and therapeutic recommendations in a hypertensive crisis are presented in the light of the 2017 ACC/AHA Hypertension Guidelines.

show abstract

Hypertensive Emergencies in Pregnancy

Cited by 44 publications

References 39 publications

Hypertensive disorders of pregnancy and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis protocol

Hypertensive disorders of pregnancy and risk of neurodevelopmental disorders in the offspring: a systematic review and meta-analysis protocol

Spatial Analytics Based on Confidential Data for Strategic Planning in Urban Health Departments

An Updated Review of Hypertensive Emergencies and Urgencies

Contact Info

Product

Resources

About