2015, Number 1
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Sal Jal 2015; 2 (1)
Profile of Blood Pressure in Pregnant Teens Under 17 Years Old.
Parra-Carrillo JZ, García de Alba-García JE, Fonseca-Reyes S, Bravo-Barba N, Nápoles-Rodríguez F
Language: Spanish
References: 20
Page: 19-24
PDF size: 635.69 Kb.
ABSTRACT
In the medical literature has been reported the utility and
importance of ABPM during diff erent stages of pregnancy
as well as the components of its variability. However, has
not been published on a high-risk population such as
adolescents less than 17 years old since the population
studied and reported are pregnant over 18 years old.
Kind of study: Observational, Descriptive.
Methods: Office Blood pressure was measured from the
28 weeks of pregnancy; a mercury sphygmomanometer
was used under the traditional auscultatory technique.
24 hours ABPM was performed with the SpaceLab 90217
device.
Results: 60 adolescents were studied in third semester
of pregnancy, the average age was 15.3 years old, and the
gestational age was 32.8 weeks The mean arterial pressure
measured under the conventional techniques was
107.2/67.9 mmHg, and the mean heart rate was 86.7 beats/
minute. Under ABPM the averages of Blood pressure were:
24 hours 108.4/62.9 mmHg; daytime 111.0/65.9; nighttime
102.6/56.2. The values of hypertension (percentile
95) were: Conventional measurements 121.7/83.7 mmHg;
ABPM 24 hours 120.0/72.8 mmHg; ABPM day-time
123.0/75.1 mmHg; ABPM night-time 113.7/68.8 mmHg.
Conclusions: Our study shows the normal values of BP
and its percentiles in the third pregnancy trimester, as
well as the 24h profile in this population, in which there’s
no report yet.
REFERENCES
Oney T, Mayer-Sabellek W. “Variability of arterial blood pressure in normal and hypertensive pregnancy”. J Hypertens 1990; 8(suppl 6):s77-s81.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al, and National High Blood Pressure Education Program Coordinating Committee. “Th e Seventh Report of the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure (JNC VII). JAMA 2003; 289:2560-2572.
Parra Carrillo JZ, Calvo Vargas CG. “Errores más comunes en la toma correcta de la presión arterial. AMJ Revista de la Asociación Médica de Jalisco, Colegio Médico, A.C. 1992;20:18-19.
O’Brien E, Asmar R, Beilin L, y cols. “On behalf of the European Society of Hypertension Working Group on blood pressure monitoring. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement”. J Hypertens 2003; 21:821-848.
Gupta HP, Singh RK, Singh U, Mehrotra S, et al. “Circadian pattern of blood pressure in normal pregnancy and pree-clampsia”. J ObstetGynaecol India 2011; 61:413-417.
Parati G. “Assessing circadian Blood pressure and Heart rate changes: advantages and limitations of diff erent methods of mathematical modeling”. J Hypertens 2004; 22:2061-2064.
Parati G, Bilo G, Mancia G. “Blood pressure measuremente in research and in clinical practice: recent evidence”. Curr Opin Nephrol Hypertens 2004; 13:343-357.
Brown MA, Robinson AR, Bowyer L, Buddle M, Martin A, HargoodJL,Cario GM. “Ambulatory blood pressure monitoring in pregnancy: What is normal?”. Am J ObstGynec 1998; 178: 836-843.
Clapp JF, Capeless E. “Cardiovascular function before, during, and aft er the fi rst and subsequent pregnancies”. Am J Cardiol 1997; 80:1469-1473.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. Th e Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004; 114:555.
O’Brien E. “Ambulatory blood pressure measurement is indispensable to good clinical practice”. J Hypertens 2003; 21 (suppl 2):S11-S18.
Sica DA, Wilson DK. “Sodium, Potassium, the Simpathetic Nervous System, and the Renin-Angiotensin System.Impact on the Circadian Variability in blood Pressure. En Blood Pressure Monitoring in Cardiovascular Medicine and Th erapeutics. White WB Editor. Humana Press, Totowa, New Jersey. 2001 pp 171-189.
Stolarz K, Staessen JA, O’Brien ET. « Night-time blood pressure: dipping into the future?”. J Hypertens 2002; 20:2131-2133.
Celis H, Staessen JA. “Circadian Variation of the Blood Pressure in the Population at Large”. En Blood Pressure Monitoring in Cardiovascular Medicine and Th erapeutics. White WB Editor. Humana Press, Totowa, New Jersey. 2001 pp 139-170.
Parati G, Bilo G, Mancia G. “Blood pressure measurement in research and clinical practice: recent evidence”. Curr Opin Nephrol Hypertens 2004; 13:343-357.
Hermida RC, Calvo C, Ayala DE, Fernández JR, Ruilope LM, López JE. “Evaluation of the extent and duration of the ABPM eff ect in hypertensive patients”. J Am Coll Cardiol 2002; 40:710-717.
Sahota PK, Jain SS, Dhand R. “Sleep disorders in pregnancy”. Curr Opin Pulm Med 2003; 9:477-483.
“Task Force II: blood pressure measurement and cardiovascular outcome”. Staessen JA, Asmar R, De Buyzere M, Imai Y, Parati, G, Shimada K, Stergiou G, Redon J, Verdecchia P; Participants of the 2001 Consensus Conference on Ambulatory Blood Pressure Monitoring. Blood Press Monit 2001; 6:355-370.
Brown MA, Davis GK, McHugh L. “Th e prevalence and clinical signifi cance of nocturnal hypertension in pregnancy”. J Hypertens 2001; 19:1437-1444.
Williams D. “Pregnancy: a stress test for life”. Curr Opin Obstet Gynecol 2003; 15:465-471.