Manejo de las formas graves de los estados hipertensivos del embarazopreeclampsia grave, eclampsia y síndrome de HELLP

  1. Clara Sáez Ibarra
  2. Lorenzo Alarcón García
  3. Irene Ruiz Adelantado
Journal:
Revista Sanitaria de Investigación

ISSN: 2660-7085

Year of publication: 2024

Volume: 5

Issue: 6

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Sanitaria de Investigación

Abstract

Hypertensive states of pregnancy encompass a wide range of clinical conditions of varying severity. Mild symptoms can quickly evolve into severe forms, being one of the main causes of maternal-fetal morbidity and mortality. They have a common pathophysiology that, although still unclear, seems to have a strong relationship with the systemic endothelial dysfunction that occurs when anomalous implantation of the placenta generates placental ischemia. Management involves adequate blood pressure control, seizure prophylaxis and early detection of serious complications such as hemolysis, acute lung edema, heart failure, kidney failure, spontaneous hepatic hematoma or coma. When these occur, the etiological treatment is termination of pregnancy, which is why they are an important cause of iatrogenic preterm birth.

Bibliographic References

  • F. Vial, N.-E. Baka, D. Herbain. Preeclampsia. Eclampsia. EMC – Anestesia-Reanimación, Volume 46, Issue 3,2020, Pages 1-19.
  • Jung E, Romero R, Yeo L, Gomez-Lopez N, Chaemsaithong P, Jaovisidha A, Gotsch F, Erez O. The etiology of preeclampsia. Am J Obstet Gynecol. 2022 Feb;226(2S): S844-S866.
  • Belinda Jim, S. AnanthKarumanchi. Preeclampsia: Pathogenesis, Prevention, and Long-Term Complications. Seminars in Nephrology, Volume 37, Issue 4,2017, Pages 386-39.
  • Scott G, Gillon TE, Pels A, von Dadelszen P, Magee LA. Guidelines-similarities and dissimilarities: a systematic review of international clinical practice guidelines for pregnancy hypertension. Am J Obstet Gynecol. 2022 Feb;226(2S): S1222-S1236. doi: 10.1016/j.ajog.2020.08.018. Epub 2020 Aug 20. PMID: 32828743.
  • Peraçoli JC, Borges VTM, Ramos JGL, Cavalli RC, Costa SHAM, Oliveira LG, Souza FLP, Korkes HA, Brum IR, Costa ML, Corrêa Junior MD, Sass N, Diniz ALD, Prado CAC, Cunha Filho EVD. Pre-eclampsia/Eclampsia. Rev Bras Ginecol Obstet. 2019 May;41(5):318-332.
  • Ulrich Abildgaard, KetilHeimdal. Pathogenesis of the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELLP): a review. European Journal of Obstetrics & Gynecology and Reproductive Biology. Volume 166; Issue 2; 2013; Pages 117-123.
  • Sun WJ, Hu J, Zhang Q, Shan JM. Administration of corticosteroid therapy for HELLP syndrome in pregnant women: evidences from seven randomized controlled trials. HypertensPregnancy. 2023 Dec;42(1):2276726.
  • Zapata Díaz BetsyMicol, Orestes Ramírez Cabrera Juan. Diagnóstico y manejo oportuno del síndrome HELLP. Rev. Perú. Ginecol. Obstet. 2020 ene; 66(1):57-65.
Data source: Dialnet