Pregledni rad
HYPERTENSIVE DISORDERS OF PREGNANCY Theory of Hypoperfusion and Hyperperfusion Types of Preeclampsia
Peter Tamás
; Department of Obstetrics and Gynecology, Faculty of Medicine,1 and Institute of Nursing and Patient Care Faculty of Health Science University of Pécs, University of Pécs. 17 Édesanyák st., H-7624 Pécs,Hungary
Eszter Hantosi
; Department of Obstetrics and Gynecology, Faculty of Medicine,1 and Institute of Nursing and Patient Care Faculty of Health Science University of Pécs, University of Pécs. 17 Édesanyák st., H-7624 Pécs,Hungary
József Bódis
; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Pécs, Hungary
Sažetak
Preeclampsia is one of the most serious complications of pregnancy. Although the etiology of preeclampsia remains obscure, examinations of central hemodynamics and recent epidemiologic data have challenged its homogenous origin. Hypertension could theoretically be secondary to elevated resistance or elevated cardiac output. Accumulating data suggest that both, organ hypoperfusion due to increased resistance of vasculature, the vascular content and also hyperperfusion due to augmented fluid retention may lead to hypertension with proteinuria in pregnancy. »Functio laesa« secondary to hypoperfusion of kidneys manifests in proteinuria in hypoperfusion type but the hypertension itself may also lead to moderate but significant proteinuria during pregnancy. Examination of central hemodynamics seems to be a useful tool for early differentiation of hypo- and hyper-perfusion types for evaluating the outcome, appropriate management and also accurate patients’ recruitment for studies.
Ključne riječi
gestational hypertension; preeclampsia subtypes; management
Hrčak ID:
69960
URI
Datum izdavanja:
1.12.2010.
Posjeta: 3.417 *