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Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy

1
Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA
2
St. George’s University School of Medicine, True Blue, West Indies, Grenada
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(10), 703; https://doi.org/10.3390/medicina55100703
Received: 23 September 2019 / Revised: 14 October 2019 / Accepted: 17 October 2019 / Published: 20 October 2019
(This article belongs to the Special Issue Pregnancy: Diagnosis, Misdiagnosis, Complications and Outcomes)
The American College of Cardiology/American Heart Association (ACC/AHA) updated its guideline redefining the classification of hypertension and the blood pressure cut-off in 2017. The current cut-offs for stage 1 hypertension of 130 mm Hg systolic blood pressure or 80 mm Hg diastolic blood pressure replace the previous cut-offs of 140 mm Hg systolic blood pressure or 90 mm Hg diastolic blood pressure which were based on the ACC/AHA guidelines from 1988. However, the blood pressure cut-off for the obstetric population still remains as 140/90 mm Hg despite the scarcity of evidence for it. Recent American College of Obstetricians and Gynecologists (ACOG) bulletins for pregnant women have not reflected the new ACC/AHA change of guideline. We reviewed a mounting body of evidence prompting the implementation of the new ACC/AHA guidelines for the obstetric population. These studies examined maternal and fetal outcomes applying the new ACC/AHA guidelines during antepartum or postpartum care. View Full-Text
Keywords: hypertensive disorders of pregnancy; blood pressure cut-off; preeclampsia; gestational hypertension; eclampsia hypertensive disorders of pregnancy; blood pressure cut-off; preeclampsia; gestational hypertension; eclampsia
MDPI and ACS Style

Sisti, G.; Williams, B. Body of Evidence in Favor of Adopting 130/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy. Medicina 2019, 55, 703.

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