Hypertension in pregnancy linked to future heart disease

admin   •   November 9, 2015   •   3037

A child touches her pregnant mother's stomach at the last stages of her pregnancy in Bordeaux April 28, 2010. REUTERS/REGIS DUVIGNAU

A child touches her pregnant mother’s stomach at the last stages of her pregnancy in Bordeaux April 28, 2010.
REUTERS/REGIS DUVIGNAU

Women who develop high blood pressure or gestational diabetes during pregnancy may face a greater risk of having these conditions again later in life, a study suggests.

To see how these pregnancy complications impacted health later in life, researchers started following more than 22,000 women when they were in their mid-50s, about 27 to 29 years after their first pregnancies had occurred.

They found that women who had high blood pressure during pregnancy were more than twice as likely to have it later as women who didn’t experience this complication when they were younger. Women with this problem during pregnancy were also more likely to develop cardiovascular disease.

In addition, women who developed diabetes during pregnancy had a four-times-higher risk of developing diabetes again later on.

And among women who developed diabetes or hypertension later in life, those problems typically got recognized earlier if they had previously experienced the conditions during pregnancy, researchers found.

“If we understand that women with hypertensive disorders of pregnancy are at increased risk of developing hypertension and subsequent cardiovascular disease, and women with gestational diabetes are at increased risk of developing type 2 diabetes mellitus, these women could benefit from screening programs,” lead study author Karst Heida of the University Medical Center Utrecht in the Netherlands said by email.

Overall, almost 6,200 of the women in the study, or about 28 percent, had hypertension, or high blood pressure, while pregnant and almost 1,100, or 5 percent, had gestational diabetes.

In the intervening years, there were more than 2,500 cardiovascular events, including about 1,500 caused by heart disease and 720 due to stroke.

Women with high blood pressure during pregnancy were diagnosed with hypertension around age 44 on average, about eight years earlier than women who developed hypertension without having had it during pregnancy.

Women who had gestational diabetes were diagnosed with type 2 diabetes, a form of the disease linked to obesity and aging, around age 53, about eight years earlier than women without a history of diabetes during pregnancy.

The main limitation of the study is its reliance on the women to accurately recall and report whether they had high blood pressure or diabetes during pregnancies that occurred many years before the start of the study, the authors acknowledge in the journal Hypertension.

In addition, high blood pressure is riskier when it develops earlier in pregnancy, and researchers didn’t have data on the timing of this complication. Women who have this pregnancy complication, however, are less likely to enter the study at an older age because they have a higher risk of future disease and poorer survival rates.

Even so, the findings should serve as a reminder to women to consider any pregnancy complications when thinking about their risk for future health problems, Kaberi Dasgupta, a researcher at McGill University in Montreal who wasn’t involved in the study, said by email.

Women can minimize their risk of these complications by starting pregnancy at a normal body weight, and, if they get these conditions while pregnant, by working with their doctor to improve their diet and lifestyle, said Deirdre Tobias, a researcher at Brigham and Women’s Hospital and Harvard Medical School who wasn’t involved in the study.

“Knowing that women with these pregnancy conditions are at high risk of certain health outcomes later in life can be valuable information, like a window into their potential future health risk,” Tobias said by email. “We should leverage this information to help women monitor their health status after pregnancy, and motivate change for a healthier lifestyle because diabetes, hypertension and heart disease are among the most preventable diseases.”

SOURCE: bit.ly/1Q8Sler Hypertension, published online October 12, 2015.

Persons with heart diseases, hypertension should get COVID-19 vaccine, PHA head says

Robie de Guzman   •   April 14, 2021

MANILA, Philippines – An official from the Philippine Heart Association (PHA) on Wednesday urged individuals with hypertension and cardiovascular diseases to getting immunized against novel coronavirus disease (COVID-19).

During the Laging Handa press briefing, PHA president Dr. Orly Bugarin said there is currently no evidence to show that COVID-19 vaccines are harmful to persons with hypertension and heart diseases.

“Sa ngayon, wala pa matibay na ebidensiya na nagsasabing ang pagpapabakuna laban sa COVID-19 ay may masamang epekto sa mga pasyente o mga may high blood,” he said.

“Talagang ini-encourage pa rin naming ang ating mga kababayan na pwede kayong magpabakuna kahit kayo ay may hypertension o mga tinatawag na cardiovascular diseases,” he added.

Health experts, however, advised people with hypertension or heart diseases to prepare themselves a few weeks before getting a COVID-19 jab.

Bugarin said patients should make sure to take their regular medicines at least two weeks before getting administered with the vaccine.

He explained that some patients may experience high blood pressure before they get vaccinated due to nervousness.

“Ang nakikita lang po naming epekto [ng vaccine] siguro is yung nerbiyos nila, kinakabahan po sila bago magpabakuna o kaya hindi po sila compliant, hindi umiinom ng gamot kaya po tumataas ang kanilang blood pressure,” he said.

Patients who have a blood pressure of 180/120 and are exhibiting symptoms of their heart conditions should be examined prior to vaccination, Bugarin said.

In the same briefing, Dr. Alejandro Diaz, a neurologist from St. Luke’s Medical Center, also advised patients to bring with them their medicines just in case their blood pressure shoots up on the day of their vaccination.

“Usually two to four weeks [before vaccination], sinisiguro nila na tini-take ang medications to see to it na ang blood pressure nila ay nasa 130/80 and below, para controlled. On the day of vaccination, dapat may baon rin silang gamot,” Diaz said.

“Kapag ang blood pressure is 180/120 and above, teka muna. Hindi ka muna lalagyan [ng bakuna] paiinumin ka ng gamot, relax ka muna pero hindi ka dapat pauuwiin,” he added.

Diaz also advised patients to refrain from drinking coffee, smoking, taking pain relievers and medicines for colds before their vaccination to manage their blood pressure.

“Iwasan uminom ng para sa sipon, mga cold remedies kasi yung cold remedies, pwedeng magpataas ng blood pressure. Iwasang magkape during that morning na magpapabakuna kayo,” he said.

“Iwasan niyong mag-take ng pain relievers. Siguraduihin ninyong bago kayo magpakuha ng blood pressure before your vaccination, naka-jingle na kayo o nakapag-CR muna kayo, dahil kung puno ang pantog niyo ay tataas din ang blood pressure niyo,” he added.

Persons with co-morbidities belong to the A3 sector of the government’s COVID-19 vaccination priority list.

The national government said that as of April 13, a total of 1,052,624 Filipinos have received the first dose of COVID-19 vaccine while 151,059 were already administered with the second dose.

DOH, tiniyak na ligtas pa ring manganak sa ospital sa gitna ng COVID-19 crisis

Robie de Guzman   •   April 10, 2020

MANILA, Philippines – Pinawi ng Department of Health (DOH) ang pangamba ng mga buntis hinggil sa kaligtasan ng panganganak sa mga ospital sa gitna ng krisis sa novel coronavirus disease (COVID-19) sa bansa.

Sa isang Facebook post, tiniyak ng DOH na ligtas pa ring manganak sa mga ospital dahil may sinusunod na istriktong panuntunan ang health facilities upang masegurong ligtas sa naturang sakit ang mga buntis at isisilang nilang sanggol.

“Huwag tayong mangamba na manganak sa ospital. Ang ating mga ospital ay may mahigpit na infection prevention and control measures. Hindi nito pababayaan ang kalusugan niyo at ni baby,” saad ng ahensiya sa isang pahayag.

“Ginagawa nila ang lahat ng kanilang makakaya upang makapagbigay ng dekalidad na birthing services habang patuloy ang paglaban ng ating bansa kontra sa COVID-19,” dagdag pa nito.

Payo rin ng DOH sa mga malapit nang manganak na makipag-ugnayan sa mga opisyal ng kanilang barangay para maihatid sa pagamutan lalo na at suspindido ang public transport habang umiiral ang enhanced community quarantine sa buong Luzon.

“Kung walang masakyan papuntang paanakan, ipagbigay-alam ito sa inyong barangay upang mapaghandaan bago pa man manganak,” sinabi ng ahensya.

Sa gitna ng COVID-19 crisis, sinabi ng DOH na pinakaligtas pa ring manganak sa isang health facility na nagbibigay ng birthing services gaya ng maternity at newborn care.

Maaari ding manganak sa mga sumusunod na pasilidad na lisensiyado ng DOH at accredited ng Philhealth:

  • Birthing facility ng Helath Center o Municipal/Rural Health Units
  • Mga pribadong lying-in clinics na mayroong midwife, nurse at doctor
  • Mga infirmary

“Kung pipiliing manganak sa panibagong health facility na iba sa inyong napagplanuhan, siguraduhing makipag-ugnyan sa inyong health care provider pang siya ay makapagbigay ng tamang referral o endorsement,” ayon sa DOH.

Kapag malapit nang manganak, mas mainam na rebyuhin ang birth plan (mother-baby book o pregnancy record mula sa inyong healthcare provider), at hangga’t maaari ay ituloy ang prenatal check-ups o kaya ay makipag-usap sa inyong healthcare provider sa pamamagitan ng tawag, text message o email habang may community quarantine.

Dapat ring ihanda ang maternity bag at newborn bag, at isilid rito ang inyong mother-baby book at PhilHealth card.

Ngayong may kumakalat na virus, pinapayuhan ng DOH ang mga buntis na ipagpatuloy ang pag-inom ng supplements na sagana sa iron at folic acid, kumain ng masusustansiyang pagkain at panatilihin ang kalinisan ng katawan, umiwas sa mga pagkaing maalat at mamantika, at ugaliing maghugas ng kamat gamit ang sabit at tubig bago at pagkatapos hawakan at pasusuhin ang inyong sanggol.

College student viral for graduating in a wheel chair passes away

Aileen Cerrudo   •   March 28, 2019

QUEZON CITY, Philippines — Smart, humble, and a good friend. That is how Joemar Kenik Mangkok’s friends describe him.

Joemar’s story became viral after his sister, Lyn Mangkok-Ayob, posted his graduation ceremony on Facebook .

#LABANPUSO…datu congrats🎓 dahil e2 na ang pangarap natin lahat na maabot mo ang araw na e2😭😭😭.sana gumaling kana at kc…

Posted by Lyn Mangkok Ayob on Saturday, 23 March 2019

Noor Galmak Mopak, one Joemar’s friends, said they have been together since first year college. They were even co-interns. Noor, Joemar and the rest of their friends made a promise to one another.

“First year pa lang po kami may pangako kami sa isa’t isa na kahit anong mangyari, sabay-sabay kami ga-graduate (Ever since first year, we promised that all of us will graduate together, no matter what ) she said.

Joemar graduated on March 22, Friday, at Southern Mindanao Institute of Technology Inc. in Sultan Kudarat. He graduated with a degree of Bachelor of Arts in Secondary Education, major in Mathematics.

He had been suffering from rheumatic heart disease for five years and no matter what happened, he kept his promise.

Despite being unable to walk and despite the heaviness of his oxygen tank, he went up the stage and accepted his diploma.

No illness could stop him.

After receiving his diploma, Joemar was rushed to the hospital and went into a coma on March 25.

On Tuesday, his sister Lyn announced his passing.

Lyn expressed her heartfelt thanks to everyone who sent their support. In her previous post, she expressed her wish for her brother after he graduated in college.

“Sana maging inspirasyon ka sa mga kabataan. We love you so much datu (I hope you become an inspiration to the youth)—Aileen Cerrudo

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