Chronic arterial high blood pressure

Detected high blood pressure before pregnancy or before 20 weeks of gestation

Essential

Arterial high blood pressure unknown cause

Secondary arterial high blood pressure

Arterial high blood pressure due to secondary cause

«White-coat» high blood pressure

SBP > 140 and/or DBP > 90 measured in the office/hospital, and pressure < 135/85 using ABPM or MPAC

Masked arterial high blood pressure

BP < 140/90 in the office/hospital and > 135/85 outside the office/hospital

≥ 20 weeks of gestation

Gestational high blood pressure

De novo high blood pressure > 20 weeks’ gestation in the absence of proteinuria and PE

Transient gestational high blood pressure

Arterial high blood pressure after 20 weeks of gestation, which disappears in subsequent shots of the BP

Pre-eclampsia de novo

PE (de novo) is gestational high blood pressure accompanied by one or more of the following conditions:

— Proteinuria: protein/creatinine ratio (PrCr) in a urine sample > 30 mg/mmol,
or albumin/creatinine (ACR) > 8 mg/mmol, or > 300 mg in 24-hour urine, or > 2+ in urine on dipstick if other tests are not available

— Target organ dysfunction:

• Neurological complications (eclampsia, headache, stroke, altered state of consciousness, scotomata)

• Pulmonary edema

• Hematological compromise: Hemolysis, platelets < 150,000)

• Renal compromise: Creatinine > 1 mg/dL

• Liver compromise (transaminases > 40 IU/L) with or without epigastric or right upper quadrant pain

— Utero-placental dysfunction (abruption, fetal growth restriction, altered umbilical artery Doppler, fetal death