Abstract
Preeclampsia is defined as BP > 140/90 mmHg on 2 occasions 4-6 hours apart, which occurs in pregnancy after 20<sup>th</sup> week of period of gestation, which involves multi organ system. Hypertensive emergency is a spectrum of Preeclampsia which is an acute crisis. We present a case, from our clinic, of a pregnant woman who was referred here with Hypertensive emergency, she was a known case of chronic hypertension with superimposed preeclampsia in hypertensive emergency, and was managed effectively with Anti hypertensives and was taken up for emergency Lscs and was managed in ICU post-operatively and was alter discharged after her recovery.
Highlights
Hypertensive disorders in pregnancy (HDP) are the spectrum of disorders ranging from already existing chronic hypertension in the index pregnancy to complex multisystem disorder like preeclampsia leading to the complications like eclampsia, HELLP syndrome, acute renal failure, pulmonary edema, stroke and left ventricular failure
Hypertensive crisis is acute increase in BP > 180/120 mmHg. When it is associated with end organ damage (Myocardial infarction, Renal damage etc) it is called as Hypertensive emergency else as Hypertensive urgency [2]
This case report of patient who presented with 38 weeks of pregnancy, with complaints of headache and blurring of vision with BP 200/150 mmHg with heavy proteinuria of 4+ on dipstick in Hypertensive emergency
Summary
Hypertensive disorders in pregnancy (HDP) are the spectrum of disorders ranging from already existing chronic hypertension in the index pregnancy to complex multisystem disorder like preeclampsia leading to the complications like eclampsia, HELLP syndrome, acute renal failure, pulmonary edema, stroke and left ventricular failure. Diagnosis-Primigravida with 38 weeks 2 days pregnancy with chronic hypertension with superimposed preeclampsia with anaemia with FGR with hypothyroidism with impending eclampsia in Hypertensive emergency. On 2nd postoperative day, her Blood pressure was maintaining between 150/100 mmHg to 140/90 mmHg, patient was shifted out of ICU to HDU and was started started on Tablet Nifedipine R 20 mg BD. Her blood pressure was maintaining between 130/90 to 120/80 mmHg on 3rd post-operative day, was discharged on Capsule Amlodipine 5 mg OD with an advice of Home BP monitoring and was explained about the early warning signs of eclampsia.
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