5 - Obs - Hypertensive Disorders in Pregnancy - Classification

Question 1

BP is dependent on systemic ? ? and ? ?

In preg - normally falls to minimum in ? trimester, by about 5-10/15mmHg, due to ? ? resistance

Answer 1

vascular resistance and cardiac output
second
reduced vascular

Question 2

Occurs in both ? and ? hypertensive women. By term, BP ? to pre-? levels

HTN due to ? largely from increase in what?

Answer 2

normotensive
chronically
rises
preg

preeclampsia
systemic vasc resistance

Question 3

? excretion in normal preg is incr, but in absence of underlying ? disease is <0.3g/24h

Answer 3

protein

renal

Question 4

Preg-induced HTN - either ? or ? HTN

• when BP rises above ?/? after ? weeks
• Pre-eclampsia = disorder where HTN and ? (>0.3g/25h) appear in ? half of preg, often with ?
• eclampsia (? seizures) is the most dramatic ? of many

Answer 4

preeclampsia
gestational/transient
140/90
20
proteinuria
2nd
oedema
epileptiform
complx

Question 5

Preg- induced HTN
-Occasionally, proteinuria ? eg in ? disease, when not always distinguishable from ? HTN (new HTN presenting ? 20wks without ?).

Answer 5

absent
early
gestational
after
proteinuria

Question 6

Pre-existing of chronic HTN
-Present when BP more than ?/? before ? or before ?wks, or woman already on ???. May be 1’ HTN, or 2’ to ?/other disease. May also be ? proteinuria due to ? disease. Pts w underlying HTN are at ? risk of ‘super-imposed’ ?.

Answer 6

140/90
preg
20
anti-hypertensive meds
renal
pre-existing
renal
6x
pre-eclampsia