Tag: chronic hypertension

Chronic hypertension in pregnancy v/s pregnancy induced hypertension


Chronic hypertension in pregnancy v/s pregnancy induced hypertension


Chronic Hypertension in Pregnancy Pregnancy Induced Hypertension
  • Means a hypertensive female has conceived
  • Normotensive patient conceived & due to placental pathology @20 weeks, her BP ↑
  • Past H/O hypertension present
  • No past H/O hypertension
  • ↑ in B/P will be seen before 20 weeks
  • ↑ in BP is seen after 20 weeks of pregnancy
  • BP- does not come back to normal within 12 weeks of delivery.
  • BP-normal within 12 weeks of delivery.

 

 

Chronic Hypertension with superimposed pre-eclampsia


Chronic Hypertension with superimposed pre-eclampsia


In a pregnant Chronic HT Female if at 20 weeks: –

BP suddenly becomes incontrollable/New onset proteinuria/Signs of end organ damage are +nt
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Antihypertensives for chronic hypertension in pregnancy


Antihypertensives for chronic hypertension in pregnancy


For PIH/PE-1st choice- Labetalol

Chronic HT in Pregnancy-Labetalol or α-Methyl Dopa

HT Crisis-I/V Labetalol, I/V Hydralazine

Safe Antihypertensive:

  • Labetalol
  • Alpha-methyldopa (safest)
  • Nitroglycerine
  • Calcium channel blockers – nifedipine
  • Hydralazine
  • Sodium nitroprusside (last resort)
  • Beta Blockers

Contraindicated during pregnancy:

  • ACE inhibitors – like enalapril, captopril
  • Angiotensin receptor blockers-Losartan
  • Diuretics
  • Atenolol
  • Diazoxide

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