Zusammenfassung
Als Grenzwert zur Hypertonie wird in der Schwangerschaft ein Blutdruck von 140/90 angesehen. Höherliegende Werte werden als pathologisch beurteilt [1, 4, 5]. Obwohl die Nachteile der Blutdruckmessung mit den üblichen Sphygmomanometern bekannt sind, beziehen sich doch die meisten Untersuchungen auf diese Methodik. Es liegen allerdings auch Studien über eine direkte Messung des intraarteriellen Blutdrucks vor [41]. Die Autoren fanden jedoch eine relativ hohe Übereinstimmung zu den üblichen einfacheren Meßmethoden. Es wurde keine Beziehung der Blutdruckhöhe zur Dicke des Armes oder des Durchmessers der Hautfalte in diesem Gebiet gefunden [41].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Adams EM, Finlayson H (1961) Familial aspects of preeclampsia and hypertension in pregnancy. Lancet II: 1375
Alvares A (1978) Use of hypotensive agents in treatment of preeclamptic toxemia in pregnancy. Brit J Obstet Gynec 85: 431
Assali NS, Kaplan S, Oighenstein S, Suyemoto R (1953) Haemodynamic effects of 1-hydrazinophthalazine in human pregnancy; results of intravenous administration. J Clin Invest 32: 922
Beller FK, Mac Gillivray IM (1978) Hypertensive disorders in pregnancy. Thieme, Stuttgart
Bourne AW, Williams LH (1958) Hypertension and pregnancy. chapt 3. In: Recent Advances in Obstetrics and Gynaecology. ( 9th ed) J. and A. Churchill, London
Brown JJ, Davies DL, Doak PB, Lever AF, Robertson JIS, Trust P (1966) Plasma renin concentration in the hypertensive diseases of pregnancy. J Obstet Gynaec Brit Cwlth 73: 410
Chesley LC (1965) Renal function in pregnancy. Bull N Y Acad Med 41: 811
Chesley LC, Cosgrove RA, Annitto JE (1962) A follow-up study of eclamptic women. Am J Ob-stet Gynecol 83: 1360
Chesley LC (1978) Hypertensive disorders in pregnancy. Appleton, New York
Del Greco F, Krumlovsky FA (1972) The renal pressor system in human pregnancy. J Reprod Med 8: 98
Ferris RF, Stein JH, Kaufmann J (1972) Uterine blood flow and uterine renin secretion. J Clin Invest 51: 2827
Friedberg V (1979) Pathophysiology of late toxemia. In: Beller FK, Mac Gillivray IM (eds) Hypertensive disorders of pregnancy. Thieme, Stuttgart, p 1
Gallery EDM, Saunders DM, Hunger SN, Giörgy AZ (1979) Randomized comparision of methyldopa and oxprenolol for treatment of hypertension in pregnancy. Brit Med J 1: 1591
Gant F (1975) The nature of the angiotensin pressor response in normal and pre-eclamptic pregnancy. In: Rippmann ET, Stamm H, McEwan HP, Howie P (eds) Progress in EPH-Gestosis. Organisation Gestosis-Press, Basel, p 229
Gant NF, Madden JD, Steri PK, Mac Donald PC (1975) The metabolic clearance rate of dehydroepiandrosterone sulfate. Am J Obstet Gynecol 123: 159
Gilstrap LC, Cunningham FG, Whalley PS (1978) Management of pregnancy-induced hypertension in the nulliparous patient remote from term. Se-min Perinatol 2: 73
Gordon RD, Parsons S, Symonds EM (1969) A prospective study of plasma renin activity in normal and toxaemic pregnancy. Lancet 1: 347
Gordon RD, Symonds EM, Wilmhurst EG et al (1973) Plasma renin activity, plasma angiotensin and plasma and urinary electrolytes in normal and toxaemic pregnancy, including a prospective study. Clin Sci 45: 115
Grospietsch G, Kuhn W (1982) Fragenbeantwortung: Hochdruckbehandlung in der Schwangerschaft. Gyn Praxis 6: 9
Heilmann J, Kurz E (1978) Ein Beitrag zur Behandlung der hypertensiven Spätgestosen mit 2-(2,7-Dichlorphenylamino)- 2-imidazolinhydrochlorid (Clonidinhydrochlorid). Geburtsh u. Frauenheilk 38: 134
Helmer OM, Judson WE (1967) Influence of high renin substrate levels on renin-angiotensin system in pregnancy. Am J Obstet Gynecol 99: 9
Joyce DN, Kanyon VG (1972) The use of diazepam and hydralazin in the treatment of severe preeclampsia. J Obstet Gynaec Brit Commonw 79: 250
Kaulhausen H (1977) Blutdruckkontrolle bei Einnahme hormonaler Kontrazeptiva. Dtsch Ärztebl 74: 2695
Kaulhausen H, Klinsiek L, Breuer H (1976) Veränderungen des Renin-Angiotensin-AldosteronSystems unter kontrazeptiven Steroiden. Beitrag zur Ätiologie der Hypertonie unter hormonalen Kontrazeptiva. Fortschr Med 94: 1925
Kaulhausen H (1980) Klinik und Therapie der Gestose (Präeklampsie). Nieren-und Hochdruckkrankh 2: 65
Kokot F, Cekanski A (1972) Plasma renin activity in periphal and uterine vein blood in pregnant and non-pregnant women. J Obstet Gynaec Brit Cwlth 79: 72
Kyank H, During R (1978) Pro und Kontra bei der Behandlung der hypertensiven Gestosen. Zbl Gynäk 100: 1465
Kyank H (1976) Critical review on the theories of EPH-gestosis. In: Vedra B, Rippmann ET (eds) Grundlagen der EPH-Gestose. Organisation Gestosis-Press, Basel, P11
Kyank H, Schwarz R, Retzke U (1978) Antihypertensive drugs in the treatment of pre-eclampsia. Br Med 1: 739
Laragh JH (1971) The pill, hypertension and the toxemias of pregnancy. Am J Obstet Gynecol 109: 210
Mac Gillivray J (1961) Hypertension in pregnancy and its consequences. J Obstet Gynaec Brit Cw1th 68: 577
Mac Gillivray J (1961) The significance of blood pressure and fluid volume changes in pregnancy. Scot Med J 12: 237
Mac Gillivray J (1969) Hypertension in pregnancy. In: Kellar RJ (ed) Modern trends in obstetrics. (Vol 4 ) Butterworths, London, p 235–256
Mac Gillivray J (1974) Present knowledge of pregnancy hypertension and possible future lines of investigation. In: Rippert CH, Rippmann ET (eds) EPH-Gestosis. Huber, Bern, p 180
Mac Gillivray J, Hytten FE, Taggart NA, Buchanan TJ (1961) The effect of sodium diuretic on total exchangeable sodium and total body water in pre-eclamptic toxaemia. J Obstet Gynaec Brit Cwlth 69: 3
Mauss HJ (1968) Hochdrucktherapie bei Praeeklampsien mit Catapresan. In: Heilmeyer L, Holtmeier HJ, Pfeiffer EF (eds) Hochdrucktherapie. Thieme, Stuttgart, S 161
Menzies DN (1964) Controlled trial of chlorothiazide in treatment of early pre-eclampsia. Brit Med 1: 739
Morris NF (1966) Hypertension in pregnancy and its treatment. In: Antihypertensive Therapy. Springer, Berlin Heidelberg New York, p 324
Pritchard JA (1978) Summary of management of pregnancy-induced hypertension at Parkland-Memorial Hospital, Dallas, Texas. In: Beller FK, Mac Gillivray J (eds) Hypertensive disorders of pregnancy. Thieme, Stuttgart, p 77
Pruyin SC, Philan JP, Buchanan GC (1979) Longterm propranolol therapy in pregnancy: Maternal and fetal outcome. Am J Obstet Gynec 135: 485
Rafters EB, Ward AP (1968) The indirect method of recording blood pressure. Cardovas Res 2: 1
Redman CWG, Beilin LJ, Bonnar J, Ounsted MK (1976) Fetal outcome in trial of antihypertensive treatment in pregnancy. Lancet 2: 753
Redman CWG, Beilin LJ, Bomar J (1977) Treatment of hypertension in pregnancy with methyl dopa: Blood pressure control and side effects. Brit J Obstet Gynec 84: 419
Ripmann ET (1976) ß-Sympathicomimetica bei der Behandlung der EPH-Gestosis. Organisation Gestosis Press Nr. 5
Ripmann ET (1982) Fragenbeantwortung: Hochdruckbehandlung in der Schwangerschaft. Gyn Praxis 6: 13
Robertson W (1978) Uterine vascular pathology in hypertensive pregnancy. In: Beller FK, Mac Gillivray J (eds) Hypertensive disorders in pregnancy. Thieme, Stuttgart, p 58
Roulet FC (ed) (1961) Eclampsia and preeclampsia in pregnancy. Karger, Basel
Sandström B (1978) Antihypertensive treatment with the adrenergic betareceptor blocker Metoprolol during pregnancy. Gynecol Obst Invest 9: 195
Sandström B (1978) Antihypertensive treatment with adrenergic beta-receptor blocker Metoprolol during pregnancy. Gynecol Obstet Invest 9: 195
Sandström B (1981) Beta-Rezeptorblockade bei Schwangerschaftshochdruck. In: Ablad B, Heidenreich J, Irmer M, Jung H (Hrsg) Betablockade and Tokolyse. Witzstrock, Baden-Baden New York, S 21
Schwarz R, Retzke U (1973) Die hämodynamische Wirkungsweise der Blutdrucksenkung durch Dihydralazin bei hypertensiven Spätschwangeren. Dtsch Gesundheitswesen 28: 703
Symonds EM (1978) Endocrine changes in pregnancy hypertension. In: Beller FK, Mac Gillivray IM (eds) Hypertensive disorders in pregnancy. Thieme, Stuttgart, p 30
Symonds EM, Andersen GJ (1974) The effect of bed rest on plasma renin in hypertensive disease of pregnancy. Am J Obstet Gynec Brit Cwlth 81: 676
Weir RJ (1978) The renin-angiotensin-aldosterone-system in preeclampsia. In: Beller FK, Mac Gillivray IM (eds) Hypertensive disorders of pregnancy. Thieme, Stuttgart, p 38
Weir RJ, Paintin DB, Brown JJ, Fraser R, Lever AF, Robertson JAS, Young J (1962) A serial study in pregnancy of the plasma concentrations of rein, corticosteroids, electrolytes and proteins and of hematocrit and plasma volume. J Obstet Gynec Brit Cwlth 78: 590
Woods JR, Brinkmann CR (1975) The treatment of gestational hypertension. J Reprod Med 15: 195
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Lauritzen, C. (1984). Hypertonie in der Schwangerschaft. In: Rosenthal, J. (eds) Arterielle Hypertonie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00760-0_23
Download citation
DOI: https://doi.org/10.1007/978-3-662-00760-0_23
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-00761-7
Online ISBN: 978-3-662-00760-0
eBook Packages: Springer Book Archive