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Doctor insights on: Essential Hypertension In Pregnancy

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Dr. Stephen Scholand
325 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Palpitation in first trimester of pregnancy in pco?

Palpitation in first trimester of pregnancy in pco?

Not sure: I am not sure i understand the question. Palpitations can occur at specific times such as late at night when you are lying down. Or they can occur after drinking coffee or alcohol. In some cases they are more common during or after exercise. Sometimes the timing helps us in treatment. (if they always occur after alcohol for instance). Then you could mean how long they last, (momentary or hours). ...Read more

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What is essential hypertension? Can it be cured, controlled, and occurr in pregnancy?

What is essential hypertension? Can it be cured, controlled,  and occurr in pregnancy?

Yes: Essential hypertension is blood pressure problems that can occur in someone who has a genetic predisposition or if they have risk factors, such as heart disease, obesity. Etc. It can be controlled with medications, maintaining a good exercise routine. It can occur in pregnancy also. Eclampsia is the hypertension related to pregnancy and is different. All can be controlled with adequate care. ...Read more

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How high is risk of pulmonary embolism in late pregnancy?

How high is risk of pulmonary embolism in late pregnancy?

Not very: If you don't smoke, are mobile, have no family history of clotting disorders, it's rare to see a pe. It can happen, but not so common as a truck driver or someone with cancer. ...Read more

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Dr. Alvin Lin Dr. Lin
8 doctors agreed:
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What causes essential hypertension in adults?

Dr. Alvin Lin Dr. Lin
8 doctors agreed:
What causes essential hypertension in adults?

We don't know: "essential" hypertension is a fancy way for us to say that we have absolutely no clue as to why your blood pressure is high. ...Read more

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Is there any new recommendations regarding hypertension and pre hypertension in people with definite coronary artery disease?

Is there any new recommendations  regarding hypertension and pre hypertension in people with definite coronary artery disease?

For younger: men <60, the recommendation is stricter blood pressure control <= 120/80 with beta blocker, thiazide diuretic and/or ACE inhibitor or ARB. For older folks the current recommended pressure threshold is <= 130/85 but that recommendation could change within the next 2 years. Salt restriction to less than 2000 mg daily is also recommended along with cardiovascular exercises daily. ...Read more

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Why is there often hypertension in pregnancy?

Why is there often hypertension in pregnancy?

Fluid changes: During pregnancy there are great increases in the the volume of blood and other fluids in the body along with the increased weight. Dilitation of the blood vessels, at least in part due to the tremendous surge in hormones, allows the body to accomodate this increased volume without an increased pressure. In some woman this dilitation is not enough, vasoconstiction occurs and pressure rises. ...Read more

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Can diabetes in pregnancy cause anencephaly?

Can diabetes in pregnancy cause anencephaly?

Diabetes: Insulin dependent diabetes, diabetes type 1, which is poorly controlled in early pregnancy is associated with a higher rate of neural tube defects. Anencephaly is the most extreme form of a neural tube defect. ...Read more

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Are Enalapril, losatan used only in pregnant women with hypertension?

Are Enalapril, losatan used only in pregnant women with hypertension?

BP in pregnancy: Drugs of the ACE-I class, Enalapril and the angiogtension receptor blocker class, losartan cannot be used in pregnant women. They must be taken off those drugs as soon as they find out that they are pregnant. Other drugs can safely be used to treat hypertension in pregnancy other than those. ...Read more

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Is gestational hypertension the same with preeclampsia?

Is  gestational hypertension the same with preeclampsia?

A little different: Gestational hypertension is defined as elevated blood pressure in a pregnant patient after 20 wk who does not have previously diagnosed hypertension. Preeclampsia is the same thing with other changes such as protein leaking into the urine, swelling and some blood test changes. Think of preeclampsia as a more complicated version of gestational hypertension. ...Read more

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Had eclampsia in 1st preg, hypertension in 2nd which led to foetal death at 29wks. Now diagnosed with essential hypertension. Pregnant now. Help?

Had eclampsia in 1st preg, hypertension in 2nd which led to foetal death at 29wks. Now diagnosed with essential hypertension. Pregnant now. Help?

High risk pregnancy: You'll need to be under the care of a high risk pregnancy specialist. These doctors are called perinatologists. You'll need a consultation as soon as possible and be sure to follow all their advice and recommendations. ...Read more

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In pregnancy, what are the most important vitamins needed trimester wise in addition to a healthy diet ?

In pregnancy, what are the most important vitamins needed trimester wise in addition to a healthy diet ?

Folic acid: is the most important. Need at least 400 micrograms a day. It prevents brain development defects (neural tube defects) in the fetus. ...Read more

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Are hypertension and portal hypertension the same thing?

Are hypertension and portal hypertension the same thing?

No: Hypertension is elevated systemic blood pressure, but portal hypertension is when the pressure of the portal vein is elevated. The portal vein is a big vessel that goes from the gastrointestinal tract to the liver, the pressure in this vein can become elevated in cirrhosis( hardening of the liver), in alcoholic liver disease, in hepatitis or from other causes of cirrhosis. ...Read more

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Is preeclampsia very rare in healthy people? Do benign heart palpitations increase my chance of preeclampsia when I am pregnant?

Is preeclampsia very rare in healthy people? Do benign heart palpitations increase my chance of preeclampsia when I am pregnant?

Preeclampsia: You are not spared the risk of preeclampsia even if you are "healthy". Preeclampsia is relatively common, especially in 1st pregnancies. Heart palpitations do not make it more likely. Some things that increase your chances. Are diabetes, obesity, high blood pressure, kidney disease or a family history of it. Most women who get preeclampsia during pregnancy are normal women with normal pregnancies. ...Read more

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Is chlorthalidone 25mg safe in ckD (s.cr1.7) to control Bp in elderly in addition toCCB and B blockers?

Is chlorthalidone 25mg safe in ckD (s.cr1.7) to control Bp in elderly in addition toCCB and B blockers?

Yes: It would be beneficial however to monitor electrolytes and renal function routinely. I am certain your doctor is aware of this. Combination therapy (three or four different classes of drug) is often necessary for the management of HTN especially in the elderly. ...Read more

Dr. Creighton Wright
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


Dr. Payam Mehranpour
2,116 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more