title: Hypertension in Pregnancy: Defining Blood Pressure Goals and the Value of Biomarkers for Preeclampsia.
abstract: Hypertensive disorders in pregnancy have been the cause of much clinical dilemma, affecting up to 10 % of all pregnancies. The precise blood pressure to achieve in a pregnant woman is usually a battle between minimizing end organ damage to the mother and providing adequate perfusion to the placenta and the fetus. This predicament is becoming more, not less, frequent as maternal ages increase in high resource nations. Biomarkers to predict preeclampsia, a subcategory of hypertension in pregnancy, have always been elusive. The discovery of angiogenic factors relevant to preeclampsia in the last decade, however, has propelled much needed research, both in the basic science and clinical arenas. In this review, we summarize the latest clinical studies and international guidelines on blood pressure goals in pregnancy, and discuss the most promising of biomarkers to predict or diagnose preeclampsia.
authors.affiliation: Division of Nephrology, Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY, 10461, USA.
authors.forename: Pitchaphon
authors.initials: P
authors.lastname: Nissaisorakarn
authors.affiliation: Division of Kidney Disease and Hypertension, Brown University School of Medicine, Providence, RI, USA.
authors.forename: Sairah
authors.initials: S
authors.lastname: Sharif
authors.affiliation: Division of Nephrology, Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY, 10461, USA. belindajim286@gmail.com.
authors.forename: Belinda
authors.initials: B
authors.lastname: Jim
mesh_terms: D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure; D001795:Blood Pressure Determination; D005260:Female; D006801:Humans; D018743:Perinatal Care; D017410:Practice Guidelines as Topic; D011225:Pre-Eclampsia / Q000097:blood / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000097:blood* / Q000503:physiopathology* / Q000517:prevention & control / Q000628:therapy; D011295:Prenatal Care; D018570:Risk Assessment
chemical_list: D015415:Biomarkers
keywords: Biomarker; Blood pressure; Guidelines; Hypertension; Preeclampsia; Pregnancy; Proteinuria