HTN

Question 1

Gestational HTN definition

Answer 1

Gestational hypertension is a clinical diagnosis defined by the new onset of hypertension (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg) at ≥20 weeks of gestation in the absence of proteinuria or new signs of end-organ dysfunction

Question 2

Severe gestational HTN

Answer 2

systolic blood pressure is ≥160 mmHg and/or diastolic blood pressure is ≥110 mmHg on two consecutive blood pressure measurements at least four hours apart

Question 3

Preeclampsia

Answer 3

Systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg on two occasions at least four hours apart after 20 weeks of gestation in a previously normotensive patient
If systolic blood pressure is ≥160 mmHg or diastolic blood pressure is ≥110 mmHg, confirmation within minutes is sufficient
AND
Proteinuria ≥0.3 grams in a 24-hour urine specimen or protein (mg/dL)/creatinine (mg/dL) ratio ≥0.3
Dipstick 1+ if a quantitative measurement is unavailable
In patients with new-onset hypertension without proteinuria, the new onset of any of the following is diagnostic of preeclampsia:
Platelet count 1.1 mg/dL or doubling of serum creatinine in the absence of other renal disease
Liver transaminases at least twice the normal concentrations
Pulmonary edema
Cerebral or visual symptoms

Question 4

BP targets

Answer 4

w/o co-morbid conditions, BP meds should targeted to 130-155/80-105
with end organ damage

Question 5

Complication from preexisiting HTN

Answer 5

Superimposed preeclampsia — 10 to 25 percent
Abruptio placentae — 0.7 to 1.5 percent
Preterm birth

Question 6

What is toxaemia

Answer 6

pre-exlampsia

Question 7

Peripartum cardiomyopathy

Answer 7

Four criteria are needed to meet the definition of peripartum cardiomyopathy:
• Development of cardiac failure in the last month of pregnancy or within five months of delivery.
• Absence of an identifiable cause for the cardiac failure.
• Absence of recognizable heart disease prior to the last month of pregnancy.
• LV systolic dysfunction (eg, LVEF