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Doctor insights on: Profile Pregnancy Induced Hypertension

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Dr. Pam Yoder Dr. Yoder
15 doctors agreed:
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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

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Dr. Lawrence Kessler
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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Are there side effects during the 1-hr glucose challenge test for gestational diabetes?

Are there side effects during the 1-hr glucose challenge test for gestational diabetes?

No long lasting: Some people feels nauseated, slightly sick but no long lasting effects. ...Read more

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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

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

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

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History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more

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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

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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

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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

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Female 61, ls heart failure, af thus metoprolol, history lifelong mitochondrial myopathy, pe, oa and nafld. Safe to take rosuvastatin for cholesterol?

Female 61, ls heart failure, af thus metoprolol, history lifelong mitochondrial myopathy, pe, oa and nafld. Safe to take rosuvastatin for cholesterol?

Who knows?: You present a unique group of disorders in which statins have never been tested. Individually, none of your disorders, including your liver disease, are contraindications to rosuvastatin. I would start it and check ck, alt and ast (the known toxicities) at 6 weeks and 6 months. ...Read more

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Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?

Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?

Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more

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I am hypertensive and diabetic both diabetes and blood pressure under control.My stress echo test came mildly positive for reversible ischemia advise?

I am hypertensive and diabetic both diabetes and blood pressure under control.My stress echo test came mildly positive for reversible ischemia  advise?

Young for heart dis.: Reversible Ischemia on stress Test means that part of the muscles in your heart is/are are not getting enough blood due to partial blockage of one or more arteries to that muscle. You need a cardiologist who can perform a (cath) Coronary artery ANGIOGRAM. This requires catherization of artery, usually in your groin, leading into your Heart arteries. You may angioplasty or stent of blocked artery. ...Read more

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Hi, hv anxiety and high bp. medicines prazopress &bisoprolol 2.5 & for anxiety paroxetine & desvenlafaxine does ths drugs induced diabetes as m tst+ ?

Hi,  hv anxiety and high bp. medicines prazopress &bisoprolol 2.5 & for anxiety paroxetine & desvenlafaxine does ths drugs induced diabetes as m tst+ ?

Drugs: Your anxiety is troubling and I recommend you get a referral to a Psychologist. Regarding all the meds you are taking you need to discuss what you do or don't really need or get benefit from. I doubt these drugs cause diabetes but hopefully your life will change for the better if you follow the advice I have given.. Nothing comes easy or quickly but help is on the way. ...Read more

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Would there be a secondary reason for sudden onset hypertension? Blood tests perfect, cholesterol 103 but glucose elevated at 128.

Would there be a secondary reason for sudden onset hypertension? Blood tests perfect, cholesterol 103 but glucose elevated at 128.

Possibly: A glucose level of 128 may indicate diabetes mellitus if it is a fasting glucose. Diabetics have a 75% risk of having high blood pressure. Sudden onset of elevated blood pressure can occur for a number of different reasons, including high physical or psychological stress, low oxygen level, respiratory distress or failure, acute heart failure, or blockage of coronary or cerebral artery. ...Read more

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Missed 3 periods,negatives pregnancy test.Hyperthyroidism not currently on medications. Can hyperthyroidism cause a false negative, or stop ovulation?

Missed 3 periods,negatives pregnancy test.Hyperthyroidism not currently on medications. Can hyperthyroidism cause a false negative, or stop ovulation?

Hyperthyroidism ...: & hypothhyroidism, for that matter, can certainly affect ovulation. The thyroid really needs to function normally for healthy pregnancy & baby to result. I don't think there is anything specific about hyperthyroidism that would cause a false negative pregnancy test; typically an error in testing (imprecise following of directions) is to blame. Work with your doctor to optimize thyroid function. ...Read more

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Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop. ...Read more

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Which antipsychotics are low risk for weight gain and drug induced cystic acne?

Which antipsychotics are low risk for weight gain and drug induced cystic acne?

Antipsychotics: You MUST have your Primary doctor refer you as soon as possible to a Psychologist. I think you will be pleasantly surprised when you start seeing the Psychologist! Please let me know how things go ...Read more

Dr. James Dukelow
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
2,106 doctors shared insights

Hypertension (Definition)

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