Hipertensión arterial en la mujer adulta

The present review examines the types of hypertension that women may suffer throughout life, their physiopathological characteristics and management. In early life, the currently used low-dose oral contraceptives seldom cause hypertension. Pregnancy provokes preeclampsia, its main medical complicati...

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Autores principales:	Tagle V,Rodrigo, Acevedo,Mónica, Valdés,Gloria
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Hypertension Hypertension, Pregnancy-induced Menopause
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200014
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spelling	oai:scielo:S0034-988720130002000142013-05-24Hipertensión arterial en la mujer adultaTagle V,RodrigoAcevedo,MónicaValdés,Gloria Hypertension Hypertension, Pregnancy-induced Menopause The present review examines the types of hypertension that women may suffer throughout life, their physiopathological characteristics and management. In early life, the currently used low-dose oral contraceptives seldom cause hypertension. Pregnancy provokes preeclampsia, its main medical complication, secondary to inadequate transformation of the spiral arteries and the subsequent multisystem endothelial damage caused by deportation of placental factors and microparticles. Hypertension in preeclampsia is an epiphenomenon which needs to be controlled at levels that reduce maternal risk without impairing placental perfusion. The hemodynamic changes of pregnancy may unmask a hypertensive phenotype, may exacerbate a chronic hypertension, or may complicate hypertension secondary to lupus, renovascular lesions, and pheochromocytoma. On the other hand a primary aldosteronism may benefit from the effect of progesterone and present as a postpartum hypertension. A hypertensive pregnancy, especially preeclampsia, represents a risk for cardiac, vascular and renal disease in later life. Menopause may mimic a pheochromocytoma, and is associated to endothelial dysfunction and salt-sensitivity. Among women, non-pharmacological treatment should be forcefully advocated, except for sodium restriction during pregnancy. The blockade of the renin-angiotensin system should be avoided in women at risk of pregnancy; betablockers could be used with precautions during pregnancy; diuretics, ACE inhibitors and angiotensin receptor antagonists should not be used during breast feeding. Collateral effects of antihypertensives, such as hyponatremia, cough and edema are more common in women. Thus, hypertension in women should be managed according to the different life stages.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.2 20132013-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200014es10.4067/S0034-98872013000200014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hypertension Hypertension, Pregnancy-induced Menopause
spellingShingle	Hypertension Hypertension, Pregnancy-induced Menopause Tagle V,Rodrigo Acevedo,Mónica Valdés,Gloria Hipertensión arterial en la mujer adulta
description	The present review examines the types of hypertension that women may suffer throughout life, their physiopathological characteristics and management. In early life, the currently used low-dose oral contraceptives seldom cause hypertension. Pregnancy provokes preeclampsia, its main medical complication, secondary to inadequate transformation of the spiral arteries and the subsequent multisystem endothelial damage caused by deportation of placental factors and microparticles. Hypertension in preeclampsia is an epiphenomenon which needs to be controlled at levels that reduce maternal risk without impairing placental perfusion. The hemodynamic changes of pregnancy may unmask a hypertensive phenotype, may exacerbate a chronic hypertension, or may complicate hypertension secondary to lupus, renovascular lesions, and pheochromocytoma. On the other hand a primary aldosteronism may benefit from the effect of progesterone and present as a postpartum hypertension. A hypertensive pregnancy, especially preeclampsia, represents a risk for cardiac, vascular and renal disease in later life. Menopause may mimic a pheochromocytoma, and is associated to endothelial dysfunction and salt-sensitivity. Among women, non-pharmacological treatment should be forcefully advocated, except for sodium restriction during pregnancy. The blockade of the renin-angiotensin system should be avoided in women at risk of pregnancy; betablockers could be used with precautions during pregnancy; diuretics, ACE inhibitors and angiotensin receptor antagonists should not be used during breast feeding. Collateral effects of antihypertensives, such as hyponatremia, cough and edema are more common in women. Thus, hypertension in women should be managed according to the different life stages.
author	Tagle V,Rodrigo Acevedo,Mónica Valdés,Gloria
author_facet	Tagle V,Rodrigo Acevedo,Mónica Valdés,Gloria
author_sort	Tagle V,Rodrigo
title	Hipertensión arterial en la mujer adulta
title_short	Hipertensión arterial en la mujer adulta
title_full	Hipertensión arterial en la mujer adulta
title_fullStr	Hipertensión arterial en la mujer adulta
title_full_unstemmed	Hipertensión arterial en la mujer adulta
title_sort	hipertensión arterial en la mujer adulta
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000200014
work_keys_str_mv	AT taglevrodrigo hipertensionarterialenlamujeradulta AT acevedomonica hipertensionarterialenlamujeradulta AT valdesgloria hipertensionarterialenlamujeradulta
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Hipertensión arterial en la mujer adulta

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