ALTERNATIVE MEDICINE

The Effects of Socioeconomic Status on Gestational Hypertension

Abstract

Among the pathophysiologic mechanisms that influence hypertension (HA), the emotional aspects have attracted interest for decades, in spite of this; they have been investigated with less depth than others (neurotransmitters, hormones, etc.). Since Franz Alexander, late of 30 presented his hypothesis that chronic inhibition of aggressiveness played a causal role in hypertension, this concept has not been definitively proved or rejection. Stone and others, referred to by Sixto Sanchez found that the risk of preeclampsia among pregnant American with antecedents of this condition previously was 7.2. (95% CI [2.7 to 18.7]). The etiology of this entity is still unclear, but it is accepted that it is a complex disease in which your individual manifestation depends on the interaction of maternal genetic effects- fetal and environmental factors. The results generated by the Colombian study of candidate genes in preeclampsia, such as endothelial nitric oxide synthase (eNOS), the angiotensin converting enzyme (ACE), C-reactive protein (CRP), interleukin 6 (IL- 6) or the endothelial receptor C-reactive protein (EPCR), among others, confirm the genetic component of this disorder (Serrano NC, Casas JP, Díaz LA, Páez MC, Millan PA, Monterrosa A. Large-scale evidence of no association between the polymorphism insertion / deletion [I / D] of the gene for angiotensin converting enzyme [ACE] and preeclampsia.

The Effects of Socioeconomic Status on Gestational Hypertension

Introduction

Gestational hypertension is defined as systolic blood pressure =140 mmHg and/or diastolic blood pressure =90 mmHg in a previously normotensive pregnant woman who is =20 weeks of gestation and has no proteinuria. The blood pressure readings should be documented on at least two occasions at least six hours apart. It is considered severe when sustained elevations in systolic blood pressure =160 mmHg and/or diastolic blood pressure =110 mmHg are present for at least six hours.

Gestational hypertension is a temporary diagnosis for hypertensive pregnant women who do not meet criteria for preeclampsia (both hypertension and proteinuria) or chronic hypertension (hypertension first detected before the 20th week of pregnancy). The diagnosis is changed to:

* Preeclampsia, if proteinuria develops

* Chronic hypertension, if blood pressure elevation persists =12 weeks postpartum

* Transient hypertension of pregnancy, if blood pressure returns to normal by 12 weeks postpartum. Thus, reassessment up to 12 weeks postpartum is necessary to establish a final definitive diagnosis (Fant, 2000).

Methods

Between 1939 and 1997, 200 articles were published related to blood pressure in the journal Psychosomatic Medicine 1, of which 90% took care of hypertension. They placed special emphasis on the role of feelings and emotions in the natural history of this entity. It has also studied how various situational stimuli (subsumed under the concept of "stress") can acutely raise blood pressure. The underlying behavioral mechanisms and strategies to eliminate them have not yet been fully explained and are a potentially fertile field for future research.

Designing strategies for primary and secondary prevention to prevent these disorders, it is essential to identify risk factors that increase the probability of occurrence of the THG, as demonstrated in multiple national and international ...