{"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\/acute-hypertensive\/","title":{"rendered":"Acute Hypertensive Definitions in the Pregnant Patient"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>Hypertensive disorders are common during pregnancy and can be classified into four pregnancy-associated categories: (1) chronic hypertension, (2) gestational hypertension, (3) preeclampsia, and (4) chronic hypertension with superimposed preeclampsia. In addition, non-pregnancy associated hypertensive emergencies can occur in the pregnant patient.<!--more--><\/p>\n<p><strong>Acute Hypertensive Definitions in the Pregnant Patient<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Name<\/strong><\/td>\n<td><strong>BP Criteria<\/strong><\/td>\n<td><strong>Additional Criteria<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u201cSevere\u201d acute<br \/>\nhypertension<\/td>\n<td>SBP \u2265 160 mm Hg or DBP \u2265 110 mm Hg<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Preeclampsia<\/td>\n<td>SBP \u2265 140 mm Hg or DBP \u2265 90 mm Hg<\/td>\n<td>BP readings must occur on \u2265 2 occasions, \u2265 4 hr apart, &gt; 20 weeks gestation<br \/>\nEither:<br \/>\n\u2022 Proteinuria (24 hr urine collection \u2265 300 mg protein<br \/>\nOR spot urine collection Uprotein\/UCr \u2265 0.3 mg\/dL)<br \/>\n\u2022 Severe features<sup>a<\/sup><\/td>\n<\/tr>\n<tr>\n<td>Eclampsia<\/td>\n<td>Preeclampsia degree of BP elevation<\/td>\n<td>New-onset grand mal seizures in a woman with no known seizure disorder<\/td>\n<\/tr>\n<tr>\n<td>HELLP syndrome<\/td>\n<td>With or without preeclampsia degree of BP elevation<\/td>\n<td>Evidence of the following:<br \/>\n\u2022 Hemolysis (schistocytes on peripheral smear, increased LDH,<br \/>\ndecreased haptoglobin, increased Tbili [\u2265 1.2 mg\/dL], decreased haematocrit)<br \/>\n\u2022 Elevated liver enzymes AST\/ALT (\u2265 70 IU\/L)<br \/>\n\u2022 Low Platelet (&lt; 100,000 mcL)<\/td>\n<\/tr>\n<tr>\n<td>Hypertensive<br \/>\nemergency<\/td>\n<td>BP \u2265 240\/140 mm Hg<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><sup>a<\/sup>Severe features = SBP \u2265 160 mm Hg or DBP \u2265 110 mm Hg, Plt &lt; 100,000\/mm3, AST\/ALT &gt; 2 x ULN, right upper quadrant or epigastric pain unresponsive to medication, cerebral\/visual symptoms, renal injury (SCr &gt; 1.1 mg\/dL or &gt; 2 x baseline), or pulmonary edema.<\/p>\n<p>Abbreviations: Tbili = total bilirubin; UCr = urinary creatinine; ULN = upper limit of normal; Uprotein = urinary protein; SBP = systolic blood pressure; DBP = diastolic blood pressure.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/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>Created Nov 21, 2019.<br \/>\nUp-date Jan 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/5836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=5836"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5836\/revisions"}],"predecessor-version":[{"id":10601,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5836\/revisions\/10601"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=5836"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=5836"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=5836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}