Management of preeclampsia after heart transplant

[摘要] We present a 20-year-old primiparous patient status post heart transplant at 6 months with long-standing hypertension progressing to super-imposed preeclampsia. Pregnancy and delivery after thoracic transplantation is no longer a rare occurrence, however, these women are at a greater risk of gestational hypertension and preeclampsia.1 Current literature does not provide treatment guidelines for treatment of hypertensive disorders in patients with a transplanted heart. In this case report, we explore the different treatments for maintaining blood pressures in the transplanted neurovascular system, effects of eclampsia prevention on blood pressure, and how fluctuations in blood pressure in a long-standing hypertensive can affect fetal heart tracings. A literature search was conducted using terms olid organ transplant and preeclampsia? nti-hypertensive drugs post heart transplant? and ypertension after heart transplantation? No reviews on treatment of preeclampsia in cardiac transplant recipients were evident.

[学科分类] 妇产科学

[关键词] Preeclampsia;heart transplant;blood pressure management