What is the blood pressure for gestational hypertension?

Written by Zhang Lu
Obstetrics
Updated on September 15, 2024
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Pregnancy-induced hypertension refers to a series of pathophysiological changes caused by elevated blood pressure in women during pregnancy. It is a severe complication of pregnancy that can have serious effects on both the mother and the fetus. The diagnostic standard for hypertension during pregnancy is the same as in non-pregnant periods, that is, a blood pressure greater than 140/90mmHg can be diagnosed as pregnancy-induced hypertension. However, pregnancy-induced hypertension can be classified based on whether it is combined with other conditions, as well as the severity of the condition. Depending on the severity, pregnancy-induced hypertension can be divided into categories such as gestational hypertension, pre-eclampsia, eclampsia, chronic hypertension, and chronic hypertension with superimposed pre-eclampsia. These classifications are mainly based on the severity of the condition, and it is essential to treat pregnancy-induced hypertension with standardized care.

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Written by Chen Tian Hua
Cardiology
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Is a blood pressure of 180 considered severe?

Blood pressure reaching a systolic level of 180 mmHg is considered severe hypertension, which is quite serious. This type of blood pressure requires active treatment with antihypertensive medications to gradually bring the pressure back to normal levels. This kind of blood pressure often requires the combination of different antihypertensive drugs with various mechanisms of action to effectively control it. It is recommended to select antihypertensive drugs under the guidance of a specialist doctor based on individualized treatment principles, starting with small doses. The reduction in blood pressure should not be too rapid nor should it cause the pressure to drop too low. In addition to standard antihypertensive treatment, long-term adjustments to lifestyle habits and changes to unhealthy behaviors are also necessary. If there are other related cardiovascular risk factors, they should also be actively managed.

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Written by Wang Ji Zhong
Internal Medicine
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The difference between hypertensive crisis and hypertensive encephalopathy

Both hypertensive encephalopathy and hypertensive crisis involve a rapid increase in blood pressure, symptoms of headache, restlessness, nausea and vomiting, palpitations, shortness of breath, and blurred vision, with systolic pressure increasing to 200 mmHg and diastolic pressure to 120 mmHg, typically presenting similar clinical blood pressure readings. The main difference between the two is that hypertensive encephalopathy is based on excessively high blood pressure in patients with severe hypertension. Furthermore, hypertensive encephalopathy can lead to clinical signs of cerebral edema and increased intracranial pressure, whereas hypertensive crisis occurs when blood pressure suddenly rises over a short period, causing symptoms due to excessive secretion of catecholamines driven by increased sympathetic nervous excitement.

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Written by Chen Tian Hua
Cardiology
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What is the standard for high blood pressure?

The standard for hypertension is a systolic pressure of 140 mmHg or higher and a diastolic pressure of 90 mmHg or higher. Whether it is systolic or diastolic pressure, if either exceeds the normal range, it is considered hypertension. People with hypertension need to actively undergo antihypertensive treatment. Long-term effective control of blood pressure to meet standards is necessary to reduce the harm caused by elevated blood pressure to the body. If high blood pressure is not effectively controlled, long-term elevated blood pressure can cause damage to the heart, brain, and kidney target organs, and even lead to severe cardiovascular and cerebrovascular complications, thus severely affecting the patient's health and even endangering the patient's life.

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Written by Zhou Qi
Nephrology
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What is the general blood pressure for hypertensive nephropathy?

Hypertension caused by kidney disease is called renal hypertension. The blood pressure of patients with renal hypertension is generally higher than that of those with primary hypertension. However, these patients can exhibit any range of blood pressure types. Their blood pressure might be in stage 1, meaning the systolic pressure is between 140 to 160 mmHg. It could also reach stage 3, where the systolic pressure exceeds 180 mmHg. In cases of heart failure, the patient's blood pressure might even reach 220 or 240 mmHg, though such extreme cases are relatively rare.

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Written by Zhang Lu
Obstetrics
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What is the blood pressure for gestational hypertension?

Pregnancy-induced hypertension refers to a series of pathophysiological changes caused by elevated blood pressure in women during pregnancy. It is a severe complication of pregnancy that can have serious effects on both the mother and the fetus. The diagnostic standard for hypertension during pregnancy is the same as in non-pregnant periods, that is, a blood pressure greater than 140/90mmHg can be diagnosed as pregnancy-induced hypertension. However, pregnancy-induced hypertension can be classified based on whether it is combined with other conditions, as well as the severity of the condition. Depending on the severity, pregnancy-induced hypertension can be divided into categories such as gestational hypertension, pre-eclampsia, eclampsia, chronic hypertension, and chronic hypertension with superimposed pre-eclampsia. These classifications are mainly based on the severity of the condition, and it is essential to treat pregnancy-induced hypertension with standardized care.