{"id":5845,"date":"2023-04-24T08:23:37","date_gmt":"2023-04-24T11:23:37","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=5845"},"modified":"2024-12-03T17:27:58","modified_gmt":"2024-12-03T20:27:58","slug":"sindromes-hipertensivas-na-gestacao","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/","title":{"rendered":"S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Sobre_as_Sindromes_Hipertensivas_na_Gestacao\" >Sobre as S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Diagnostico\" >Diagn\u00f3stico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Conduta\" >Conduta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Sulfato_de_Magnesio_quando\" >Sulfato de Magn\u00e9sio: quando?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Esquemas_de_Sulfatacao\" >Esquemas de Sulfata\u00e7\u00e3o:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#RISCO_DE_INTOXICACAO\" >RISCO DE INTOXICA\u00c7\u00c3O<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Ficha-Resumo_Sindromes_Hipertensivas_na_Gestacao\" >Ficha-Resumo: S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#CofExpress\" >CofExpress<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Referencias\" >Refer\u00eancias<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/sindromes-hipertensivas-na-gestacao\/#Conquiste_a_aprovacao\" >Conquiste a aprova\u00e7\u00e3o!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/04\/saiba-mais-sobre-a-39-1024x576.png\" alt=\"Doen\u00e7as Hipertensivas Gestacionais\"\/><\/figure>\n\n\n\n<p><em>Quer saber as principais informa\u00e7\u00f5es sobre as S\u00edndromes Hipertensivas que ocorrem na gesta\u00e7\u00e3o e aprimorar seu conhecimento sobre o tema? Ent\u00e3o leia o conte\u00fado e tenha acesso ao resumo da nossa aula!<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-sobre-as-sindromes-hipertensivas-na-gestacao\"><span class=\"ez-toc-section\" id=\"Sobre_as_Sindromes_Hipertensivas_na_Gestacao\"><\/span><strong>Sobre as S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>As s\u00edndromes hipertensivas na gesta\u00e7\u00e3o s\u00e3o respons\u00e1veis por cerca de 15% das mortes maternas diretas. Por isso, s\u00e3o assuntos que costumam cair com frequ\u00eancia nas provas de<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/residencia-medica-usp-sp-2023\/\" target=\"_blank\" rel=\"noopener\">&nbsp;resid\u00eancia m\u00e9dica<\/a>. Portanto, dentre os fatores de risco (FR), podemos destacar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>gemelaridade;<\/strong><\/li>\n\n\n\n<li><strong>hist\u00f3ria familiar ou pessoal de s\u00edndrome hipertensiva na gesta\u00e7\u00e3o;<\/strong><\/li>\n\n\n\n<li>idade superior a 35 anos;<\/li>\n\n\n\n<li>doen\u00e7a cardiovascular pr\u00e9-existente;<\/li>\n\n\n\n<li>obesidade;<\/li>\n\n\n\n<li><strong>hipertens\u00e3o cr\u00f4nica;<\/strong><\/li>\n\n\n\n<li><strong>diabetes e;<\/strong><\/li>\n\n\n\n<li><strong>doen\u00e7a renal.<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Assim, considerados de alto risco os FR em negrito, e na presen\u00e7a de um deles, inicia-se ao redor de 12 semanas e idealmente abaixo de 16 semanas a preven\u00e7\u00e3o medicamentosa.\u00a0Desse\u00a0modo, a prescri\u00e7\u00e3o de AAS e c\u00e1lcio diminuem o risco de pr\u00e9-ecl\u00e2mpsia em cerca de 60%. Al\u00e9m disso, na presen\u00e7a de 2 ou mais FR moderados e IG \u2265 12 semanas, tamb\u00e9m temos indica\u00e7\u00e3o de iniciar a preven\u00e7\u00e3o. Sendo assim, ela deve se manter por at\u00e9 as 36 semanas.<\/p>\n\n\n\n<pre class=\"wp-block-verse\">&#x1f440;<strong>&nbsp;DE OLHO NA PRESCRI\u00c7\u00c3O&nbsp;<\/strong>&#x1f48a;<br><br>&gt; AAS 100-150mg\/dia \u2192 no SUS, temos a apresenta\u00e7\u00e3o de 100mg, podendo ser prescrito 1cp e 1\/2 por dia.<br><br>&gt; Carbonato de c\u00e1lcio 1-2g\/dia \u2192 no SUS, temos a apresenta\u00e7\u00e3o de 500mg, podendo ser prescrito 1cp a cada 12h.<\/pre>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico\"><span class=\"ez-toc-section\" id=\"Diagnostico\"><\/span><strong>Diagn\u00f3stico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Dessa forma, em casos de s\u00edndromes hipertensivas na gesta\u00e7\u00e3o, consideramos:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hipertens\u00e3o pr\u00e9via:&nbsp;\u00e0 gesta\u00e7\u00e3o se a paciente j\u00e1 fizer uso de anti-hipertensivos ou apresentar PAS \u2265 140 e\/ou PAD \u2265 90mmHg, em 2 aferi\u00e7\u00f5es, com menos de 20 semanas.<\/li>\n\n\n\n<li>Hipertens\u00e3o gestacional: eleva\u00e7\u00e3o press\u00f3rica na segunda metade da gesta\u00e7\u00e3o, em paciente previamente normotensa, sem sinais de disfun\u00e7\u00f5es em \u00f3rg\u00e3os-alvo.<\/li>\n\n\n\n<li>Pr\u00e9-ecl\u00e2mpsia: hipertens\u00e3o arterial, em gestante previamente normotensa, a partir da 20\u00aa semana de gesta\u00e7\u00e3o, associada \u00e0 protein\u00faria significativa ou na presen\u00e7a de comprometimento sist\u00eamico ou disfun\u00e7\u00e3o de\u00a0\u00a0\u00f3rg\u00e3os-alvo.<\/li>\n<\/ul>\n\n\n\n<p>Al\u00e9m disso, na presen\u00e7a de convuls\u00e3o t\u00f4nico-cl\u00f4nica e exclu\u00eddas outras causas, consideramos que a paciente apresenta&nbsp;ecl\u00e2mpsia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conduta\"><span class=\"ez-toc-section\" id=\"Conduta\"><\/span><b>Conduta<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Os anti-hipertensivos devem ser iniciados nas seguintes situa\u00e7\u00f5es:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PAS \u2265 150 e\/ou PAD \u2265 100<\/li>\n\n\n\n<li>PAS \u2265 140 e\/ou PAD \u2265 90 persistente<\/li>\n\n\n\n<li>Sintomas<\/li>\n<\/ul>\n\n\n\n<pre class=\"wp-block-verse\"><strong>&#x1f440;DE OLHO NA PRESCRI\u00c7\u00c3O &#x1f48a;- podemos optar por<\/strong><br><br>> Metildopa 750-2000mg\/dia divididos em 2 a 4 tomadas \u2192 No SUS, temos a apresenta\u00e7\u00e3o de 250mg<br>> Nifedipino 20-120mg\/dia com possibilidade de divis\u00e3o em at\u00e9 3 tomadas \u2192 No SUS, temos a apresenta\u00e7\u00e3o de 10 e 20mg<br>*Caso a PA n\u00e3o seja controlada com essas medica\u00e7\u00f5es, deve-se associar um vasodilatador perif\u00e9rico (hidralazina).<br>Posteriormente, se n\u00e3o controlar, podemos optar por associar um betabloqueador (metoprolol, carvedilol, etc).<\/pre>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-sulfato-de-magnesio-quando-0\"><span class=\"ez-toc-section\" id=\"Sulfato_de_Magnesio_quando\"><\/span><b>Sulfato de Magn\u00e9sio: quando?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Se sinais de deteriora\u00e7\u00e3o cl\u00ednica e\/ou laboratorial;<\/li>\n\n\n\n<li>Imin\u00eancia de ecl\u00e2mpsia;<\/li>\n\n\n\n<li>Ecl\u00e2mpsia;<\/li>\n\n\n\n<li>HELLP;<\/li>\n\n\n\n<li>Hipertens\u00e3o de dif\u00edcil controle\/pico press\u00f3rico;<\/li>\n\n\n\n<li>Seu uso n\u00e3o\u00a0indica\u00a0parto.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-esquemas-de-sulfatacao\"><span class=\"ez-toc-section\" id=\"Esquemas_de_Sulfatacao\"><\/span><b>Esquemas de Sulfata\u00e7\u00e3o:<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Esquema de Pritchard <\/b>(ideal para transfer\u00eancia de paciente) &#8211; 4g EV + 10g IM (5g em cada n\u00e1dega).<\/li>\n\n\n\n<li><b>Esquema de Zuspam<\/b> &#8211; 4g EV + manuten\u00e7\u00e3o (1g EV por hora em BIC).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-risco-de-intoxicacao\"><span class=\"ez-toc-section\" id=\"RISCO_DE_INTOXICACAO\"><\/span><strong>RISCO DE INTOXICA\u00c7\u00c3O<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Nesse sentido, deve-se lembrar como avaliar clinicamente a intoxica\u00e7\u00e3o por Mg:<br>&#8211; Diminui\u00e7\u00e3o do reflexo patelar<br>&#8211; Diurese \u2264 25ml<br>&#8211; FR &lt; 12irpm<br>* Lembre-se, tamb\u00e9m, que usa-se o gluconato de c\u00e1lcio 10% como ant\u00eddoto nessas situa\u00e7\u00f5es.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ficha-resumo-sindromes-hipertensivas-na-gestacao\"><span class=\"ez-toc-section\" id=\"Ficha-Resumo_Sindromes_Hipertensivas_na_Gestacao\"><\/span><strong>Ficha-Resumo: S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Confira abaixo a ficha resumo da aula ministrada pela Dra. Alice Maganin, formada em Ginecologia e Obstetr\u00edcia pelo HCFMUSP! <\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/06\/Ficha-Resumo-Sindromes-Hipertensivas-G.O.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Incorporado de Ficha-Resumo-Sindromes-Hipertensivas-G.O.\"><\/object><a id=\"wp-block-file--media-49e51278-f232-4981-b092-17ba74ffb618\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/06\/Ficha-Resumo-Sindromes-Hipertensivas-G.O.pdf\">Ficha-Resumo-Sindromes-Hipertensivas-G.O<\/a><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/06\/Ficha-Resumo-Sindromes-Hipertensivas-G.O.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-49e51278-f232-4981-b092-17ba74ffb618\">Baixar<\/a><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-cofexpress\"><span class=\"ez-toc-section\" id=\"CofExpress\"><\/span><strong>CofExpress<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O <strong>CofExpress <\/strong>\u00e9 o v\u00eddeo resumo que nossos alunos podem utilizar para otimizar o tempo de estudo de acordo com o desempenho dele sobre o assunto! A seguir, voc\u00ea pode conferir o resumo da aula de S\u00edndromes Hipertensivas!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Resumo DHEG - S\u00edndromes Hipertensivas da Gesta\u00e7\u00e3o - Ecl\u00e2mpsia - Pr\u00e9-ecl\u00e2mpsia \/  Cofexpress Medcof\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/44EJ6iL1o0o?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>E a\u00ed, j\u00e1 se sente mais seguro para acompanhar uma gestante do pr\u00e9-natal de alto risco? Ent\u00e3o n\u00e3o esque\u00e7a de anotar as dicas de prescri\u00e7\u00e3o e bons estudos!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><span class=\"ez-toc-section\" id=\"Referencias\"><\/span><b>Refer\u00eancias<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><em>B<\/em><i>RASIL. Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade. Departamento de A\u00e7\u00f5es Program\u00e1ticas. Manual de gesta\u00e7\u00e3o de alto risco. Bras\u00edlia : Minist\u00e9rio da Sa\u00fade, 2022.<br>FIORIO, T. A. et al. Doen\u00e7a hipertensiva espec\u00edfica da gesta\u00e7\u00e3o: preval\u00eancia e fatores Associados. Brazilian Journal of Development, v. 6, n. 6, 2020.<br>MONTENEGRO, C.A.B. Rezende obstetr\u00edcia. 13\u00aa ed. &#8211; Rio de Janeiro : Guanabara Koogan, 2017.<br>ZUGAIB, M.; FRANCISCO, R. P. V. Zubaig obstetr\u00edcia. 4\u00aa ed. Barueri (SP): Manole,<\/i><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conquiste-a-aprovacao\"><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao\"><\/span><b>Conquiste a aprova\u00e7\u00e3o!<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Nossos alunos das modalidades Extensivo, Semi e programado t\u00eam acesso \u00e0 todos esses materiais que otimizam o seu tempo de estudo! Conhe\u00e7a o <strong><a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">Grupo MedCof<\/a><\/strong> e a metodologia que aprovou mais de <strong>10 mil residentes pelo pa\u00eds<\/strong>!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"KUotqbv-oG8\"><iframe loading=\"lazy\" title=\"USP Neurocirurgia: A TRAJET\u00d3RIA INSPIRADORA do Dr. Wilker Barreto!\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/KUotqbv-oG8?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>As s\u00edndromes hipertensivas s\u00e3o desenvolvidas na gesta\u00e7\u00e3o respons\u00e1veis por cerca de 15% das mortes maternas diretas. Saiba mais sobre!<\/p>\n","protected":false},"author":10,"featured_media":26571,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[125],"tags":[152,133,153],"ppma_author":[3613],"class_list":{"0":"post-5845","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-ginecologia-e-obstetricia","8":"tag-ginecologia-e-obstetricia","9":"tag-hipertensao-arterial-sistemica","10":"tag-residencia-em-ginecologia-e-obstetricia"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>S\u00edndromes Hipertensivas na Gesta\u00e7\u00e3o - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"As s\u00edndromes hipertensivas s\u00e3o desenvolvidas na gesta\u00e7\u00e3o respons\u00e1veis por cerca de 15% das mortes maternas diretas. 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