Top
20
Doctor insights on: Pregnancy Induced Hypertension Pathophysiology

Share
Dr. Pam Yoder Dr. Yoder
15 doctors agreed:
1

1
What causes pregnancy induced hypertension?

Dr. Pam Yoder Dr. Yoder
15 doctors agreed:
What causes pregnancy induced hypertension?

Still a mystery: My OB chairman told us this about a famous hospital where pioneers in pregnancy worked and studied complications like toxemia. It was called chicago lying-in hospital; it evolved into labor and delivery of the u chicago medical center. Nearby is a row of plaques of famous researchers. There is one for the person who discovers the cause of preeclampsia. After all of these years, it is still empty. ...Read more

See 1 more doctor answer
Dr. Theodore Davantzis
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


2

2
Does pregnancy-induced hypertension cause hellp syndrome?

Does pregnancy-induced hypertension cause hellp syndrome?

No: Pih includes both gestational hypertension, which is a benign condition where the woman's blood pressure increases slightly without the associated proteinuria, edema or lab abnormalities found in pre-eclampsia. Hellp syndrome is a variant of severe pre-eclampsia characterized by hemolysis, elevated liver enzymes and low-platelets. Blood pressure may be high as well. ...Read more

See 1 more doctor answer
4

4
What is pathophysiology polyhydramnions cause hypertension?

What is pathophysiology polyhydramnions cause hypertension?

Polyhydramnios: Polyhydramnios is an over abundance of amniotic fluid. There are many causes including fetal anomalies, diabetes, and an unknown. A good ultrasound examining the fetus for abnormalities is indicated. Polyhydramnios does not usually cause hypertension in the mother. That is more commonly due to either underlying high blood pressure or developing pre-eclampsia. ...Read more

5

5
Does pregnancy-induced hypertension cause placental abruption?

Does pregnancy-induced hypertension cause placental abruption?

Yes: High blood pressure, whether present before pregnancy or whether it develops during pregnancy, does increase a woman's risk for abruption. But most women with high blood pressure never have an abruption. ...Read more

See 3 more doctor answers
7

7
What causes pregnancy induced goiter?

What causes pregnancy induced goiter?

Stress: Pregnancy puts a stress on your entire body, including your thyroid. It can bring out mild deficiencies that lead to thyroid enlargement (goiter). In addition, immune mechanisms can lead to inflammation and thyroid enlargement. ...Read more

8

8
What is done for pregnancy induced congestive heart failure?

What is done for  pregnancy induced congestive heart failure?

Same for all CHF: Peripartum cardiomyopathy occurs rarely, but can be very dangerous, even fatal. Treatment is the same as other forms of dilated cardiomyopathy, namely beta blockers, ace inhibitors and diuretics. In most cases, heart function returns to normal within 6 months. Unfortunately, if you have it with one pregnancy, you have better than a 50% chance of having it with subsequent pregnancies! ...Read more

9

9
Acute antihypertensive therapy in pregnancy-induced hypertension: is nicardipine the answer?

Not my first choice: Nicardipine is pregnancy category c. Typically we use IV labetolol, Hydralazine and PO nidepine as first line agents. There is some data using nicardipine i v . It is alternative to other agents. I would use if other agents contraindicated or did not work. ...Read more

10

10
Can gestational hypertension cause heart failure?

Can gestational hypertension cause heart failure?

Yes: Heart failure for the fetus and seizures with heart failure in mothers. ...Read more

11

11
Pathophysiology of diabetes mellitus in pregnancy?

Pathophysiology of diabetes mellitus in pregnancy?

Glucose intolerance: The short paragraph here doesn't give me alot to explain this, but basically pregnancy is a relatively glucose resistant state and the more times you are pregnant, the more likely you get gestational diabetes. There are alterations in Insulin levels and Insulin resistance during the pregnancy. The typical american diet of high sugar processed foods doesn't help. ...Read more

13

13
Are leaky heart valves during pregnancy linked with preeclampsia?

Are leaky heart valves during pregnancy linked with preeclampsia?

Probably yes: Preecclampsia has a long list of complications and affects multiple organ systems including heart. The symptoms generally abate after 2-3 months and require reassessment from OB for a referral to specialist as indicated. ...Read more

14

14
How can hypertension causes acute coronary syndrome?

How can  hypertension causes acute coronary syndrome?

Usually not: A hypertensive spell can cause aortic or coronary acute dissection, but commonly atherosclerosis is the cause of heart attacks - acute coronary syndromes. ...Read more

See 1 more doctor answer
15

15
Is toxemia & preeclampsia hereditary?

Is toxemia & preeclampsia hereditary?

Familial: The pathogenic mechanisms underlying pre-eclampsia remain to be elucidated; however, immune maladaptation, inadequate placental development and trophoblast invasion, placental ischaemia, oxidative stress and thrombosis are all thought to represent key factors in the development of disease. Furthermore, all of these components have genetic factors that may be involved in the pathogenic changes. ...Read more

16

16
Can chronic traumatic encephalopathy cause tachycardia nearing 200 bpm?

Can chronic traumatic encephalopathy cause tachycardia nearing 200 bpm?

Yes: if this is producing focal seizures with autonomic symptoms. (Also bradycardia can occur) ...Read more

See 2 more doctor answers
17

17
What is idiopathic intracranial hypertension (also known as pseudotumor cerebri)?

What is idiopathic intracranial hypertension (also known as pseudotumor cerebri)?

Pseudotumor: is caused by an imbalance of CSF production vs. resorption. The list of causes is lengthy. Low Vit A or iron, elevated Vit A, female gender, obesity or weight gain, tetracycline exposure, obstructive sleep apnea and endocrinologic disorders are contributory. The headaches are typically mild to moderate, diffuse and worsen with reclining. There may be blurring of vision or diplopia. ...Read more

See 1 more doctor answer
19

19
What're the tests for idiopathic intracranial hypertension?

What're the tests for idiopathic intracranial hypertension?

Spinal tap: The most direct test is to measure pressure in the spinal fluid. This is done with a spinal tap and pressure measuring column. The fluid column is measured, and then the fluid is drained off. Just draining the fluid can relieve symptoms. Analysis of the fluid would rule out more serious conditions. This procedure is easily performed in a doctor's office or emergency room. ...Read more

See 1 more doctor answer
20

20
Does lupus nephritis always lead to hypertension hi bp?

Does lupus nephritis always lead to hypertension hi bp?

Not necessarily: The more benign forms of lupus nephritis in which there is little damage done may have little clinical impact on the patient. Most patients with lupus develop hypertension only in the context of significant kidney damage. ...Read more

Dr. Katharine Cox
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
2,112 doctors shared insights

Hypertension (Definition)

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