Are Early Pregnancy Blood Pressure Patterns a Crystal Ball for Predicting Preeclampsia and Gestational Hypertension?

Article Cardiac & Cardiovascular Systems

Early Pregnancy Systolic Blood Pressure Patterns Predict Early- and Later-Onset Preeclampsia and Gestational Hypertension Among Ostensibly Low-to-Moderate Risk Groups

Erica P. Gunderson et al.

Summary: Clinical blood pressure patterns hold promise to improve early risk stratification for hypertensive disorders of pregnancy, as they can effectively identify risk of early-onset preeclampsia.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2023)

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Article Peripheral Vascular Disease

Early Pregnancy Blood Pressure Patterns Identify Risk of Hypertensive Disorders of Pregnancy Among Racial and Ethnic Groups

Erica P. Gunderson et al.

Summary: This study reveals the differences in risk of pregnancy-related hypertension based on early pregnancy blood pressure patterns among different racial and ethnic groups. These findings are crucial for individual risk stratification and early intervention strategies.

HYPERTENSION (2022)

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Article Medicine, General & Internal

Treatment for Mild Chronic Hypertension during Pregnancy

A. T. Tita et al.

Summary: In pregnant women with mild chronic hypertension, a strategy of targeting a blood pressure of less than 140/90 mm Hg was associated with better pregnancy outcomes compared to a strategy of reserving treatment only for severe hypertension, without increasing the risk of small-for-gestational-age birth weight.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

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Article Peripheral Vascular Disease

Role of Antihypertensive Treatment and Blood Pressure Control in the Occurrence of Adverse Pregnancy Outcomes: a Population-Based Study of Linked Electronic Health Records

Sukainah Al Khalaf et al.

Summary: This study investigated the adverse effects of chronic hypertension during pregnancy and the effectiveness of antihypertensive treatment. The results showed that women with chronic hypertension had a higher risk of developing preeclampsia, preterm birth, and fetal growth restriction. Women with chronic hypertension who were treated with antihypertensive medications still had a higher risk of these adverse outcomes compared to untreated women. Among women receiving treatment, methyldopa may have better pregnancy outcomes than beta-blockers.

HYPERTENSION (2022)

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Article Health Care Sciences & Services

Improving preeclampsia risk prediction by modeling pregnancy trajectories from routinely collected electronic medical record data

Shilong Li et al.

Summary: By using machine learning and electronic medical records, we developed a model to predict the risk of preeclampsia with high accuracy across different pregnancy periods, and identified potential risk factors. This model is beneficial for early identification of high-risk patients and provides a pathway for personalized therapeutic strategies for those at risk.

NPJ DIGITAL MEDICINE (2022)

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Review Medicine, General & Internal

Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality US Preventive Services Task Force Recommendation Statement

Karina W. Davidson et al.

Summary: Preeclampsia is a serious complication affecting pregnant persons, with significant impact on maternal and infant health in the US. The US Preventive Services Task Force recommends the use of low-dose aspirin for pregnant persons at high risk for preeclampsia as a preventive measure.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

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Article Peripheral Vascular Disease