{"id":5836,"date":"2019-12-12T22:43:23","date_gmt":"2019-12-12T22:43:23","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=5836"},"modified":"2026-01-28T19:05:23","modified_gmt":"2026-01-28T19:05:23","slug":"acute-hypertensive","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/acute-hypertensive\/","title":{"rendered":"Trastornos Hipertensivos Agudos en Pacientes Embarazadas"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Los trastornos hipertensivos son comunes durante el embarazo y se pueden clasificar en cuatro categor\u00edas asociadas con el embarazo: (1) hipertensi\u00f3n cr\u00f3nica, (2) hipertensi\u00f3n gestacional, (3) preeclampsia, y (4) hipertensi\u00f3n cr\u00f3nica con preeclampsia superpuesta. Adem\u00e1s, pueden ocurrir emergencias hipertensivas no relacionadas con el embarazo en la paciente embarazada.<!--more--><\/p>\n<p><strong>Trastornos Hipertensivos Agudos en Pacientes Embarazadas<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Nombre<\/strong><\/td>\n<td><strong>Criterios PA<\/strong><\/td>\n<td><strong>Criterios Adicionales<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Hipertensi\u00f3n aguda \u00abSevera\u00bb<\/td>\n<td>PAS \u2265 160 mm Hg o PAD \u2265 110 mm Hg<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Preeclampsia<\/td>\n<td>PAS \u2265 140 mm Hg o PAD \u2265 90 mm Hg<\/td>\n<td>Las lecturas de PA deben ocurrir en \u2265 2 ocasiones, con \u2265 4 horas de diferencia, &gt; 20 semanas de gestaci\u00f3n<br \/>\nYa sea:<br \/>\n\u2022 Proteinuria (recolecci\u00f3n de orina de 24 horas \u2265300 mg de prote\u00ed\u00adna)<br \/>\nO la recolecci\u00f3n de orina puntual Uprote\u00ed\u00adna\/UCr \u22650.3 mg\/dL)<br \/>\n\u2022 Caracter\u00edsticas severas<sup>a<\/sup><\/td>\n<\/tr>\n<tr>\n<td>Eclampsia<\/td>\n<td>Grado de preeclampsia de elevaci\u00f3n de la PA<\/td>\n<td>Convulsiones de gran mal de reciente comienzo en una mujer sin trastorno convulsivo conocido<\/td>\n<\/tr>\n<tr>\n<td>S\u00edndrome HELLP<\/td>\n<td>Con o sin grado de\u00a0 preeclampsia de elevaci\u00f3n de la PA<\/td>\n<td>Evidencia de lo siguiente:<br \/>\n\u2022 Hem\u00f3lisis (esquistocitos en frotis perif\u00e9rico, aumento de LDH, disminuci\u00f3n de haptoglobina, aumento de bilirrubina total [\u2265 1,2 mg\/dL], disminuci\u00f3n de hematocrito)<br \/>\n\u2022 Elevaci\u00f3n de las enzimas hep\u00e1ticas GOT\/GPT (\u2265 70 UI\/L)<br \/>\n\u2022 Plaquetas bajas (&lt;100.000 mcL)<\/td>\n<\/tr>\n<tr>\n<td>Emergencia hipertensiva<\/td>\n<td>PA \u2265 240\/140 mm Hg<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><sup>a <\/sup>Caracter\u00edsticas severas = PAS \u2265 160 mm Hg o PAD \u2265 110 mm Hg, Plt &lt;100,000\/mm3, GOT\/GPT &gt;2 x LSN, dolor del cuadrante superior derecho o epig\u00e1strico que no responde a la medicaci\u00f3n, s\u00edntomas cerebrales\/visuales, lesi\u00f3n renal (Cr &gt; 1,1 mg\/dL o &gt;2 veces el valor basal) o edema pulmonar.<\/p>\n<p>Abreviaturas: UCr = creatinina urinaria; LSN = l\u00edmite superior de la normalidad; Uprote\u00edna = prote\u00edna urinaria; PAS = presi\u00f3n arterial sist\u00f3lica; PAD = presi\u00f3n arterial diast\u00f3lica.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Braunthal S, Brateanu A. Hypertension in pregnancy: Pathophysiology and treatment. SAGE Open Med. 2019 Apr 10;7:2050312119843700. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31007914\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Wilkerson RG, Ogunbodede AC. Hypertensive Disorders of Pregnancy. Emerg Med Clin North Am. 2019 May;37(2):301-316. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30940374\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Loheit AC, L\u00f6\u00dfner C, Schleussner E, Groten T. Hemodynamics-guided therapy for hypertensive disorders of pregnancy: a systematic review. Arch Gynecol Obstet. 2026 Jan 14;313(1):43. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41533141\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Nov 21, 2019.<br \/>\nActualizado Ene 28, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los trastornos hipertensivos son comunes durante el embarazo y se pueden clasificar en cuatro categor\u00edas asociadas con el embarazo: (1) hipertensi\u00f3n cr\u00f3nica, (2) hipertensi\u00f3n gestacional, (3) preeclampsia, y (4) hipertensi\u00f3n cr\u00f3nica con preeclampsia superpuesta. Adem\u00e1s, pueden ocurrir emergencias hipertensivas no relacionadas con el embarazo en la paciente embarazada.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[231,2091,352,2093,2092,2090,2086,990,2088,2087,2089],"class_list":["post-5836","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-acute","tag-agudos","tag-definitions","tag-eclampsia","tag-embarazadas","tag-hipertensivos","tag-hypertensive","tag-pacientes","tag-patient","tag-pregnant","tag-trastornos"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=5836"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5836\/revisions"}],"predecessor-version":[{"id":10601,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5836\/revisions\/10601"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=5836"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=5836"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=5836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}