THE THERAPEUTIC AND DIAGNOSTIC MANAGEMENT OF PREGNANT WOMEN WITH ARTERIAL HYPERTENSION IN RUSSIA: DIAGNOSIS AND CLASSIFICATION (RESULTS OF THE DIALOG II MULTICENTER EPIDEMIOLOGICAL STUDY)
- Authors: OGANOV RG1, TKAChEVA ON1, Oganov RG2, Tkacheva ON2
-
Affiliations:
- State Research Center of Preventive Medicine, Federal Agency for High-Tech Medical Care, Moscow
- Issue: No 5 (2010)
- Pages: 42-48
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246354
- ID: 246354
Cite item
Full Text
Abstract
The DIALOGUE II multicenter epidemiological study was conducted in 27 cities and towns of Russia; 2033 physicians managing pregnant women with arterial hypertension (AH) were interviewed by a questionnaire. Used terminology, diagnostic criteria, and a range of laboratory tests employed to specify the diagnosis of AH and to monitor the status of pregnant women with this condition were analyzed. The study has indicated that routine clinical practice does not properly use the generally accepted diagnostic criteria and uniform principles in the diagnosis of AH in pregnant women or a number of required laboratory tests.
Keywords
About the authors
R G OGANOV
O N TKAChEVA
R G Oganov
State Research Center of Preventive Medicine, Federal Agency for High-Tech Medical Care, MoscowState Research Center of Preventive Medicine, Federal Agency for High-Tech Medical Care, Moscow
O N Tkacheva
State Research Center of Preventive Medicine, Federal Agency for High-Tech Medical Care, MoscowState Research Center of Preventive Medicine, Federal Agency for High-Tech Medical Care, Moscow
References
- Лечебно-диагностическая тактика ведения беременных с артериальной гипертонией в России. Всероссийское научное общество кардиологов. М., 2007.
- Многоцентровое эпидемиологическое исследование «Лечебно-диагностическая тактика ведения беременных с артериальной гипертонией в России «ДИАЛОГ» //Артериальная гипертензия - 2008. - Т. 14. № 1. - С. 27-39.
- Рабочая группа по лечению артериальной гипертонии Европейского общества гипертонии (ESH) и Европейского общества кардиологов (ESC). Рекомендации 2007 года по лечению артериальной гипертонии //Рациональная фармакотер. в кар- диол. - 2008. - № 1-2. - С. 51-53.
- Серов В.Н., Фролова О.Г., Токова З.З. Основные причины материнской смертности в последние 5 лет // Пробл. беременности. - 2001. - № 3. - С. 15-19.
- Сидорова И.С. Гестоз. - М., 2003.
- Ткачева О.Н., Барабашкина А.В. Актуальные вопросы патогенеза, диагностики и фармакотерапии артериальной гипертонии у беременных. -М., 2006.
- Шехтман М.М. Руководство по экстрагенитальной патологии у беременных. - М., 2008.
- Diagnostik und therapie hypertensiver schwangerschaft serkrankungen Deutsche Gesellsc haft fur Gynakologie und Geburtshilfe (DGGG), Arbeitsgemein schaft Schwanger schaft shochd ruck/Gestose - 2008; 24.
- Expert Consensus Document on Management of Cardiovascular Diseases during Pregnancy// Eur. Heart J. - 2003. - Vol. 24, № 8. - Р. 761-781.
- Health Canada. Special report on maternal mortality and severe morbidity in Canada - Enhanced surveillance: the path to prevention. - Ottawa: Minister of Public Works and Government Services Canada, 2004.
- Hypertension Guideline Committee and approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy// J. Obstet. Gynaecol. Can. - 2008 . - Vol. 30, № 3. Р. 1-48.
- Levine R.J. et al. Should the definition of preeclampsia include a rise in diastolic blood pressure >15 mm Hg? // Am. J. Obstet. Gynecol. - 2000. - Vol. 182. - P. 225.
- Lowe S.A., Brown M.A., Dekker G, et al. Guidelines for the management of hypertensive disorders of pregnancy. Society of Obstetric Medicine of Australia and New Zealand (SOMANZ). - 2008. - P. 31.
- North R.A., Taylor R.S., Schellenberg J.C. Evaluation of a definition of pre-eclampsia // Br. J. Obstet. Gynaecol. - 1999. - Vol.106. - P. 767-773.
- Podymow Т., August Ph. Update on the Use of Antihypertensive Drugs in Pregnancy // Hypertension. - 2008. - Vol. 51. - P. 960-969.
- Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy//Am.J. Obstet. Gynecol.-2000. -Vol. 183. - P. 1-22.
- Why mothers die 2000-2002. The sixth report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. - London, 2004.
Supplementary files
![](/img/style/loading.gif)