Current Hypertension Reports

, Volume 8, Issue 6, pp 502–511

Pathophysiology and medical management of systemic hypertension in preeclampsia

  • William H. Frishman
  • Megan Veresh
  • Stacy J. Schlocker
  • Nergesh Tejani
Article

Abstract

Hypertension that complicates preeclampsia in pregnancy is a disorder that requires special consideration in both prevention and pharmacologic treatment. In recent years, few advances have been made regarding the pathophysiology and prevention of preeclampsia; however, there have been some promising results from studies on possible modes of screening women for preeclampsia before clinical signs and symptoms are apparent. The recommendations for first-line drug therapy for the hypertensive complications of preeclampsia have changed little, primarily because first-line medications have had the advantage of extensive research experience. Recent clinical trials have demonstrated the efficacy and safety of various second-line drugs for the hypertensive complications of preeclampsia; whether these therapies can eventually replace the standard recommended first-line medications will require more extensive long-term investigation.

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Copyright information

© Current Science Inc. 2006

Authors and Affiliations

  • William H. Frishman
    • 1
  • Megan Veresh
  • Stacy J. Schlocker
  • Nergesh Tejani
  1. 1.Department of MedicineNew York Medical CollegeValhallaUSA

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