[Outpatient follow-up and management of pregnant women with hypertension].
OBJECTIVE
To study variants of the course of chronic hypertension in pregnant women and determination of factors predisposing to a persistent rise of arterial pressure (AP) in pregnancy.


METHODS
A total of 50 pregnant women were examined (heart rhythm variability and psychological testing) who had AP 140/90 mm Hg and higher as shown by measurements at three outpatient check-ups. After delivery the patients were retrospectively devided into two groups. Twenty-seven group 1 women had frequent rises of AP to 140/90 and higher throughout pregnancy; twenty-three women of group 2 had high AP only at early terms of pregnancy, later they became normotensive without use of hypotensive drugs. 24-h AP monitoring was made in 29 patients. By its results, two subgroups were identified: 11 patients with essential hypertension and 18 women with neurocirculatory dystonia by hypertensive type.


RESULTS
In group 1 there was an early fall of cardiac performance, higher values of SMIP test according to scales 2 (pessimism), 3 (emotional lability), 4 (impetuosity) and 7 (anxiety).


CONCLUSIONS
The analysis of 24-h AP profiles revealed more persistent and significant rise of AP in patients with essential hypertension than in those with neurocirculatory dystonia. They also demonstrated high AP variability correlating with a risk of cardiovascular diseases.
Poliatykina
T S
TS
Mishina
I E
IE
Andreeva
S V
SV
Maslennikova
O M
OM
D000328:Adult; D000553:Ambulatory Care / Q000379:methods*; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D006973:Hypertension / Q000503:physiopathology* / Q000523:psychology; D010045:Outpatients; D011247:Pregnancy; D011261:Pregnancy Trimester, First / Q000502:physiology*; D011581:Psychological Tests; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index