Conference abstract
Blood pressure profile of women with a history of preeclampsia
Pan African Medical Journal - Conference Proceedings. 2023:18(102).03
Oct 2023.
doi: 10.11604/pamj-cp.2023.18.102.2209
Archived on: 03 Oct 2023
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Keywords: Associated factors, preeclampsia, Yaoundé, BP profile
Oral presentation
Blood pressure profile of women with a history of preeclampsia
Christian Ngongang Ouankou1,&
1Faculté de Médecine et de Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun
&Corresponding author
Introduction: preeclampsia increases the long-term risk of cardiovascular disease. Some of the women affected by this condition remain hypertensive after delivery. Hypertensive phenotypes such as masked hypertension, sustained hypertension, white coat hypertension, and an adverse systolic night-today blood pressure ratio can only be detected with ambulatory BP monitoring (ABPM). This study aimed to determine the prevalence of hypertension using ABPM and office measurements.
Methods: we conducted a cross-sectional study that included women who delivered between January 2015 and June 2021 and were diagnosed and followed up for preeclampsia in three major obstetrical and gynecologic units in Yaounde. We excluded from the study all women who had a history of chronic hypertension or a known Cardiopathy. Sociodemographic data and history were recorded, and a physical exam, ECG, ultrasound, and ABPM were performed on all participants.
Results: one hundred and one (101) participants were included. The mean age was 30.56 years. 40.6% of women had hypertension (sustained hypertension, with sometimes masked hypertension) with ABPM. Sustained hypertension was most common (26.7%), followed by masked hypertension (11.9%) and white-coat hypertension (2%). With office BP measurement, only 28.7% of women would have been diagnosed hypertensive. 29.8% of women had a disadvantageous dipping pattern. We had 26 patients (25,74%) with severe office hypertension and 32,3% were obese. The Renal function and fundus were normal, and we had no signs of neurological deficits or impaired cognition. Finally, we had two cases of heart failure.
Conclusion: many women affected by preeclampsia remain hypertensive after delivery. Masked hypertension and white-coat hypertension are risk factors for future cardiovascular disease and can only be diagnosed with ABPM. It is important to provide adequate follow-up for these women to intervene on the factors leading to this outcome.
Blood pressure profile of women with a history of preeclampsia
Christian Ngongang Ouankou1,&
1Faculté de Médecine et de Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun
&Corresponding author
Introduction: preeclampsia increases the long-term risk of cardiovascular disease. Some of the women affected by this condition remain hypertensive after delivery. Hypertensive phenotypes such as masked hypertension, sustained hypertension, white coat hypertension, and an adverse systolic night-today blood pressure ratio can only be detected with ambulatory BP monitoring (ABPM). This study aimed to determine the prevalence of hypertension using ABPM and office measurements.
Methods: we conducted a cross-sectional study that included women who delivered between January 2015 and June 2021 and were diagnosed and followed up for preeclampsia in three major obstetrical and gynecologic units in Yaounde. We excluded from the study all women who had a history of chronic hypertension or a known Cardiopathy. Sociodemographic data and history were recorded, and a physical exam, ECG, ultrasound, and ABPM were performed on all participants.
Results: one hundred and one (101) participants were included. The mean age was 30.56 years. 40.6% of women had hypertension (sustained hypertension, with sometimes masked hypertension) with ABPM. Sustained hypertension was most common (26.7%), followed by masked hypertension (11.9%) and white-coat hypertension (2%). With office BP measurement, only 28.7% of women would have been diagnosed hypertensive. 29.8% of women had a disadvantageous dipping pattern. We had 26 patients (25,74%) with severe office hypertension and 32,3% were obese. The Renal function and fundus were normal, and we had no signs of neurological deficits or impaired cognition. Finally, we had two cases of heart failure.
Conclusion: many women affected by preeclampsia remain hypertensive after delivery. Masked hypertension and white-coat hypertension are risk factors for future cardiovascular disease and can only be diagnosed with ABPM. It is important to provide adequate follow-up for these women to intervene on the factors leading to this outcome.
