Blood pressure control in pregnant patients with chronic hypertension and diabetes: should <130/80 be the target?,American Journal of Obstetrics and Gynecology

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Blood pressure control in pregnant patients with chronic hypertension and diabetes: should <130/80 be the target?
American Journal of Obstetrics and Gynecology ( IF 8.7 ) Pub Date : 2024-09-15 , DOI: 10.1016/j.ajog.2024.09.006
Lorie M Harper ₁ , Hui-Chien Kuo ₂ , Kim Boggess ₃ , Lorraine Dugoff ₄ , Baha Sibai ₅ , Kirsten Lawrence ₆ , Brenna L Hughes ₇ , Joseph Bell ₈ , Kjersti Aagaard ₉ , Rodney K Edwards ₁₀ , Kelly S Gibson ₁₁ , David M Haas ₁₂ , Lauren Plante ₁₃ , Torri D Metz ₁₄ , Brian M Casey ₁₅ , Sean Esplin ₁₆ , Sherri Longo ₁₇ , Matthew Hoffman ₁₈ , George R Saade ₁₉ , Kara Hoppe ₂₀ , Janelle Foroutan ₂₁ , Methodius G Tuuli ₂₂ , Michelle Y Owens ₂₃ , Hyagriv N Simhan ₂₄ , Heather A Frey ₂₅ , Todd Rosen ₂₆ , Anna Palatnik ₂₇ , Phyllis August ₂₈ , Uma M Reddy ₂₉ , Wendy Kinzler ₃₀ , Emily J Su ₃₁ , Iris Krishna ₃₂ , Nguyet A Nguyen ₃₃ , Mary E Norton ₃₄ , Daniel Skupski ₃₅ , Yasser Y El-Sayed ₃₆ , Zorina S Galis ₃₇ , Namasivayam Ambalavanan ₃₈ , Suzanne Oparil ₃₉ , Jeff M Szychowski ₄₀ , Alan T N Tita ₄₁

Affiliation

Department of Women's Health, University of Texas at Austin.
Department of Biostatistics, University of Alabama at Birmingham.
Department of Obstetrics and Gynecology, University of North Carolina Chapel Hill.
Department of Obstetrics and Gynecology, University of Pennsylvania.
Department of Obstetrics and Gynecology, University of Texas at Houston.
Department of Obstetrics and Gynecology, Columbia University.
Department of Obstetrics and Gynecology, Duke University.
Department of Obstetrics and Gynecology, St. Luke's University Health Network.
Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital and HCA Healthcare and HCA Healthcare Research Institute, Nashville, TN and HCA Texas Maternal Fetal Medicine, Houston, TX.
Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences.
MetroHealth System.
Department of Obstetrics and Gynecology, Indiana University.
Department of Obstetrics and Gynecology, Pennsylvania State College of Medicine.
Department of Obstetrics and Gynecology, University of Utah Health.
Department of Obstetrics and Gynecology, University of Texas Southwestern.
Intermountain Healthcare, Utah.
Ochsner Baptist Medical Center.
Christiana Care Health Services.
Department of Obstetrics and Gynecology, Eastern Virginia Medical Center.
Department of Obstetrics and Gynecology, University of Wisconsin, Madison.
St. Peters University Hospital.
Department of Obstetrics and Gynecology, Washington University.
Department of Obstetrics and Gynecology, University of Mississippi Medical Center.
Department of Obstetrics and Gynecology, Magee Women's Hospital and University of Pittsburgh.
Department of Obstetrics and Gynecology, Ohio State University.
Department of Obstetrics and Gynecology, Rutgers University-Robert Wood Johnson Medical School.
Department of Obstetrics and Gynecology, Medical College of Wisconsin.
Weill Cornell University.
Department of Obstetrics and Gynecology, Yale University.
Department of Obstetrics and Gynecology, Winthrop University Hospital.
Department of Obstetrics and Gynecology, University of Colorado.
Department of Obstetrics and Gynecology, Emory University.
Department of Obstetrics and Gynecology, Denver Health.
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.
Department of Obstetrics and Gynecology, New York Presbyterian Queens Hospital.
Department of Obstetrics and Gynecology, Stanford University.
Division of Cardiovascular Sciences, NHLBI, Bethesda, MD.
University of Alabama at Birmingham Division of Neonatology, Department of Pediatrics43 and Center for Women's Reproductive Health.
University of Alabama at Birmingham, Division of Cardiovascular Disease, Department of Medicine and Center for Women's Reproductive Health.
University of Alabama at Birmingham, Department of Biostatistics and Center for Women's Reproductive Health.
University of Alabama at Birmingham, Department of Obstetrics and Gynecology and Center for Women's Reproductive Health.

The Chronic Hypertension and Pregnancy Study demonstrated that a target blood pressure of <140/90 mm Hg during pregnancy is associated with improved perinatal outcomes. Outside of pregnancy, pharmacologic therapy for patients with diabetes and hypertension is adjusted to a target blood pressure of <130/80 mm Hg. During pregnancy, patients with both diabetes and chronic hypertension may also benefit from tighter control with a target blood pressure <130/80 mm Hg.

中文翻译：

慢性高血压和糖尿病孕妇的血压控制：<130/80 是否应该成为目标？

慢性高血压和妊娠研究表明，怀孕期间目标血压为 <140/90 mm Hg 与围产期结局的改善相关。在怀孕之外，糖尿病和高血压患者的药物治疗应调整为 <130/80 mm Hg 的目标血压。在怀孕期间，糖尿病和慢性高血压患者也可能受益于更严格的控制，目标血压 <130/80 毫米汞柱。

更新日期：2024-09-15

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