Статья
Артериальная гипертензия у беременных: взгляд с позиций Европейских рекомендаций 2018 года
Актуальность проблемы артериальной гипертензии (АГ) у беременных обусловлена ее высокой распространенностью и тяжестью последствий для матери и плода. В РФ АГ диагностируется у 5–30% беременных, на протяжении последних десятилетий отмечается тенденция к увеличению этого показателя. Наличие АГ является фактором риска развития различных осложнений, как со стороны матери, так и со стороны плода и новорожденного. АГ остается ведущей причиной материнской, фетальной и неонатальной смертности. АГ у беременных является значимым предиктором развития сердечно-сосудистой патологии в будущем. Данная проблема имеет и социальный аспект — повышение расходов на лечение, в том числе и в связи с повторными госпитализациями после родов. В 2018 году вышли новые Европейские рекомендации по сердечно-сосудистым заболеваниям во время беременности и Европейские рекомендации по артериальной гипертензии, в которых имеются специальные разделы, посвященные АГ у беременных. В этих рекомендациях представлены последние данные по классификации, диагностике и терапии АГ у беременных. В настоящее время по-прежнему препаратом первой линии для лечения АГ у беременных является метилдопа, который зарекомендовал себя как эффективный и безопасный препарат при лечении АГ у беременных.
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