Pre-eclampsia differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Differentiating Pre-eclampsia from other Diseases
| Differntiating diagnosis of hypertension in pregnancy | Chronic hypertension | White coat hypertension | Mask hypertension[1] | Gestational hypertension | Preeclampsia |
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| Onset | Before 20 weeks in pregnancy | Blood pressure ≥ 140/90 in office and clinic and BP < 135/85 at home | Normal blood pressure at office and elevation in other condition | Hypertension after 20 weeks of pregnancy with out proteinuria or hematologic abnormality | Hypertension after 20 weeks of pregnancy with proteinuria or maternal organ dysfunction |
| Management | Tightly controlling of hypertension (110-140/85), Fetal growth monitoring | Blood pressure monitoring | 24 hours ambulatory blood pressure monitoring | Tightly controlling Blood pressure | Tightly controlling Blood pressure |
| Prognosis | Increased risk of cardiovascular complications | Increased risk of preeclampsia and cardiovascular complications | Increased risk of preeclampsia | Good prognosis,may 1/4 progress to preeclampsia | may progress to eclampsia or HELLP syndrome |
References
- ↑ Salazar MR, Espeche WG, Leiva Sisnieguez BC, Balbín E, Leiva Sisnieguez CE, Stavile RN, March CE, Grassi F, Santillan C, Cor S, Carbajal HA (November 2016). "Significance of masked and nocturnal hypertension in normotensive women coursing a high-risk pregnancy". J Hypertens. 34 (11): 2248–52. doi:10.1097/HJH.0000000000001067. PMID 27490952.