hypertensive

5) hypertensive crisis
-acute increase in BP, usually with diastolic BP over 100mmHg, with or without endorgan damage
-drugs choice in mx for hpt in pregnancy: hydralazine, labetalol, magnesium sulphate


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 Izzat Mubarak: Salam dr shaiful...chronic hpt is diagnosed at before 20 wks gestation...

To dx hpt its must be >140/90 on 2 ocassions 4 hrs apart

A lady at booking taken first bp, reading above 140/90...so she has to repeat 4 hrs later...and she comes back again and bp is also above normal...

But it cud be that she is anxiety, rushing from somewhere or just perform something stressful... So is the reading reliable???

 Dr Shaiful Ehsan: Waalaikumsalam....any high BP at visit should be entertained....
Provided it is done appropriately....
Nevertheless, there is possibility of white coat hypertension....in which home blood pressure monitoring or ambulatory BP monitoring should be done...
These group of patient usually have normal BP at home....but high on visit with new staff or new doctors....regular doctor treating them...they will feel more comfortable...

 Izzat, you can refer to our latest CPG hypertension in adult 2014....regarding appropriate measures before BP measurement and white coat hypertension...tqvm