Chronic
Hypertension - Evaluation
Specialized testing,
ideally prior to pregnancy (ECHO, ECG, ophthlalmologic exam, renal sonography)
Rule out other
medical etiologies (pheochromocytoma, Cushing’s syndrome)
Chronic Hypertension - Management
- Generally, deliver at term, unless superimposed
preeclampsia, HELLP syndrome
- Avoid ACE
inhibitors (renal failure, oligohydramnios, pulmonary hypoplasia, IUGR) and
atenolol (IUGR)
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