Daily monitoring of blood pressure in pregnant women, subject to constitutional and INHERITED manifestations of connective tissue dysplasia
Cardiovascular disease and dysregulation of blood pressure by the type of hypertension as well as hypotension, complicating pregnancy and childbirth. Purpose: To evaluate the features of daily monitoring of blood pressure in pregnant women, depending on the constitutional and hereditary phenotypic manifestations of connective tissue dysplasia. Material and Methods: In the Stavropol regional perinatal center were examined 160 women (age 17 to 38 years) in the third trimester of pregnancy, which were divided into two groups according to the presence of signs of connective tissue dysplasia. Conducted phenotypic analysis, complex special survey, the daily office and the definition of blood pressure with an analysis of more than 30 indicators. Results: The presence of a third of the surveyed dysregulation of blood pressure by the type of hypotension and hypertension, and hypertension occurred in twice as likely first. In both forms dysregulation registered as a stable and labile forms. Labile form is marked as a hidden and isolated office. The described embodiments hemodynamic dysregulation were more prevalent among women with altered phenotype, indicating the presence of a connective tissue disease. Conclusion: It should make greater use of daily monitoring of blood pressure for early detection of latent and labile forms as hypotension and hypertension among pregnant women, especially if they have external phenotypic signs of increased stigmatization.