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Diuretics and the Treatment of Preeclampsia

Diuretics and the Treatment of Preeclampsia Abstract To the Editor. —I would like to disagree with one point in the recent article published in the Archives by Francisco and Ferris entitled "The Use and Abuse of Diuretics" (1982; 142:28-32). In this article, it is stated that diuretics are considered to be appropriate therapy for preeclampsia. Current concepts of preeclampsia indicate that the hypertension is caused by vasospasm, and the intravascular volume is decreased, even though extravascular volume is increased. I agree with the statement that diuretics and salt restriction should not be used to treat preeclampsia, because they may further decrease the already compromised placental perfusion.1 Although diuretics have been used extensively in the past, I believe that the current concepts of the pathophysiology of preeclampsia support the position that diuretics should rarely be used in the treatment of preeclampsia. References 1. McCubbin JH, Sibai BM: Management of preeclampsia-eclampsia. Am Fam Phys 1981; 24:111-115. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Diuretics and the Treatment of Preeclampsia

Archives of Internal Medicine , Volume 142 (8) – Aug 1, 1982

Diuretics and the Treatment of Preeclampsia

Abstract

Abstract To the Editor. —I would like to disagree with one point in the recent article published in the Archives by Francisco and Ferris entitled "The Use and Abuse of Diuretics" (1982; 142:28-32). In this article, it is stated that diuretics are considered to be appropriate therapy for preeclampsia. Current concepts of preeclampsia indicate that the hypertension is caused by vasospasm, and the intravascular volume is decreased, even though extravascular volume is increased. I...
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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340210179034
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —I would like to disagree with one point in the recent article published in the Archives by Francisco and Ferris entitled "The Use and Abuse of Diuretics" (1982; 142:28-32). In this article, it is stated that diuretics are considered to be appropriate therapy for preeclampsia. Current concepts of preeclampsia indicate that the hypertension is caused by vasospasm, and the intravascular volume is decreased, even though extravascular volume is increased. I agree with the statement that diuretics and salt restriction should not be used to treat preeclampsia, because they may further decrease the already compromised placental perfusion.1 Although diuretics have been used extensively in the past, I believe that the current concepts of the pathophysiology of preeclampsia support the position that diuretics should rarely be used in the treatment of preeclampsia. References 1. McCubbin JH, Sibai BM: Management of preeclampsia-eclampsia. Am Fam Phys 1981; 24:111-115.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1982

References