{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T16:27:24Z","timestamp":1756571244798},"reference-count":27,"publisher":"Hogrefe Publishing Group","issue":"24","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p> Zusammenfassung. Die Pr\u00e4eklampsie ist eine Multisystemerkrankung, die vorwiegend zu einer systemischen Beeintr\u00e4chtigung der m\u00fctterlichen Endothelfunktion f\u00fchrt. Eine Dysbalance von proangiogenen und antiangiogenen Faktoren ist dabei massgeblich beteiligt. Die vaskul\u00e4re Erkrankung f\u00fchrt zur klinischen Manifestation der Symptome wie arterieller Hypertonie und zur Beteiligung der Endorgane, v.a. Niere, Leber und Gehirn. Das klassische Diagnosekriterium \u00abProteinurie\u00bb ist gem\u00e4ss internationaler Empfehlungen nicht mehr obligat zur Diagnosestellung erforderlich, sondern nur noch ein m\u00f6gliches Kriterium und kann durch die Kriterien m\u00fctterliche Organbeteiligung oder fetale Wachstumsretardierung ersetzt werden. Die Weisskittelhypertonie wird in die Klassifikation der hypertensiven Erkrankungen zus\u00e4tzlich aufgenommen. Die Begrifflichkeit \u00ableichte\u00bb Pr\u00e4eklampsie wird im klinischen Setting wegen der potenziell raschen Verschlechterung und damit einhergehenden m\u00fctterlichen und fetalen Gef\u00e4hrdung nicht empfohlen. <\/jats:p>","DOI":"10.1024\/1661-8157\/a003100","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T08:30:21Z","timestamp":1543393821000},"page":"1333-1337","source":"Crossref","is-referenced-by-count":1,"title":["Pr\u00e4eklampsie: neue Definitionen"],"prefix":"10.1024","volume":"107","author":[{"given":"Leonhard","family":"Sch\u00e4ffer","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Geburtshilfe & Pr\u00e4nataldiagnostik, Kantonsspital Baden AG"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"crossref","unstructured":"Say L,                      Chou D,                      Gemmill A,                   et al.: Global causes of maternal death: a WHO                   systematic analysis. Lancet Glob                   Health 2014; 2:                   e323\u2013333.","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"c2","doi-asserted-by":"crossref","unstructured":"Khan KS,                      Wojdyla D,                      Say L,                   et al.: WHO analysis of causes of maternal death: a                   systematic review.                   Lancet 2006; 367:                   1066\u20131074.","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"c3","doi-asserted-by":"crossref","unstructured":"Lo JO,                      Mission JF,                      Caughey AB,                   et al.: Hypertensive disease of pregnancy and maternal                   mortality. Curr Opin Obstet                   Gynecol 2013; 25:                   124\u2013132.","DOI":"10.1097\/GCO.0b013e32835e0ef5"},{"key":"c4","doi-asserted-by":"crossref","unstructured":"Purde M-T,                      Baumann M,                      Wiedemann U,                   et al.: Incidence of preeclampsia in pregnant Swiss                   women. Swiss Med Wkly.                   2015; 145: w14175.","DOI":"10.4414\/smw.2015.14175"},{"key":"c5","doi-asserted-by":"crossref","unstructured":"Sircar M,                      Thadhani R,                      Karumanchi SA:                   Pathogenesis of preeclampsia. Curr                   Opin Nephrol Hypertens 2015; 24:                   131\u2013138.","DOI":"10.1097\/MNH.0000000000000105"},{"key":"c6","doi-asserted-by":"crossref","unstructured":"Souza JP,                      G\u00fclmezoglu AM,                      Vogel J,                   et al.: Moving beyond essential interventions for                   reduction of maternal mortality (the WHO Multicountry Survey on Maternal and                   Newborn Health): a cross-sectional study. Lancet                   Lond Engl Mai 2013; 381:                   1747\u20131755.","DOI":"10.1016\/S0140-6736(13)60686-8"},{"key":"c7","doi-asserted-by":"crossref","unstructured":"Ilekis JV, Reddy UM,                      Roberts JM:                   Preeclampsia \u2013 a pressing problem: an executive summary of a                   National Institute of Child Health and Human Development workshop.                   Reprod Sci Thousand Oaks Calif 2007;                   14:                508\u2013523.","DOI":"10.1177\/1933719107306232"},{"key":"c8","doi-asserted-by":"crossref","unstructured":"Kaufmann P,                      Black S,                      Huppertz B:                   Endovascular trophoblast invasion: implications for the                   pathogenesis of intrauterine growth retardation and preeclampsia.                   Biol Reprod 2003; 69:                   1\u20137.","DOI":"10.1095\/biolreprod.102.014977"},{"key":"c9","doi-asserted-by":"crossref","unstructured":"Staff AC,                      Dechend R,                      Pijnenborg R:                   Learning from the placenta: acute atherosis and vascular remodeling                   in preeclampsia-novel aspects for atherosclerosis and future cardiovascular                   health. Hypertens Dallas Tex                   1979 2010; 56:                   1026\u20131034.","DOI":"10.1161\/HYPERTENSIONAHA.110.157743"},{"key":"c10","doi-asserted-by":"crossref","unstructured":"Aouache R,                      Biquard L,                      Vaiman D,                      Miralles F:                   Oxidative stress in preeclampsia and placental                   diseases. Int J Mol                   Sci 2018; 19: 1496.                Verf\u00fcgbar unter: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5983711\/;                   letzter Zugriff: 29.08.2018.","DOI":"10.3390\/ijms19051496"},{"key":"c11","doi-asserted-by":"crossref","unstructured":"Lyall F,                      Robson SC,                      Bulmer JN:                   Spiral artery remodeling and trophoblast invasion in preeclampsia                   and fetal growth restriction: relationship to clinical outcome.                   Hypertens Dallas Tex 1979 2013;                   62:                1046\u20131054.","DOI":"10.1161\/HYPERTENSIONAHA.113.01892"},{"key":"c12","doi-asserted-by":"crossref","unstructured":"Brosens I,                      Pijnenborg R,                      Vercruysse L,                      Romero R:                   The \u00abGreat Obstetrical Syndromes\u00bb are associated with disorders of                   deep placentation. Am J Obstet                   Gynecol 2011; 204:                   193\u2013201.","DOI":"10.1016\/j.ajog.2010.08.009"},{"key":"c13","unstructured":"Rusterholz C,                      Hahn S,                      Holzgreve W:                   Role of placentally produced inflammatory and regulatory cytokines                   in pregnancy and the etiology of preeclampsia. Semin                   Immunopathol. Juni 2007; 29:                   151\u2013162."},{"key":"c14","doi-asserted-by":"crossref","unstructured":"Tranquilli AL,                      Dekker G,                      Magee L,                   et al.: The classification, diagnosis and management                   of the hypertensive disorders of pregnancy: A revised statement from the                   ISSHP. Pregnancy                   Hypertens 2014; 4:                   97\u2013104.","DOI":"10.1016\/j.preghy.2014.02.001"},{"key":"c15","unstructured":"American College of Obstetricians and                   Gynecologists, Task Force on Hypertension in Pregnancy.                   Hypertension in pregnancy. Report of the American College of                   Obstetricians and Gynecologists\u2019 Task Force on Hypertension in                   Pregnancy. Obstet                   Gynecol 2013; 122:                   1122\u20131131."},{"key":"c16","doi-asserted-by":"crossref","unstructured":"Sibai BM:                   Diagnosis, controversies, and management of the syndrome of                   hemolysis, elevated liver enzymes, and low platelet count.                   Obstet Gynecol 2004;                   103:                981\u2013991.","DOI":"10.1097\/01.AOG.0000126245.35811.2a"},{"key":"c17","doi-asserted-by":"crossref","unstructured":"Rolfo A,                      Attini R,                      Nuzzo AM,                   et al.: Chronic kidney disease may be differentially                   diagnosed from preeclampsia by serum biomarkers.                   Kidney Int 2013; 83:                   177\u2013181.","DOI":"10.1038\/ki.2012.348"},{"key":"c18","doi-asserted-by":"crossref","unstructured":"Zeisler H,                      Llurba E,                      Chantraine F,                   et al.: Predictive Value of the sFlt-1:PlGF Ratio in                   Women with Suspected Preeclampsia. N Engl J                   Med  2016; 374:                   13\u201322.","DOI":"10.1056\/NEJMoa1414838"},{"key":"c19","unstructured":"Whelton PK,                      Carey RM,                      Aronow WS,                      Casey DE,                      Collins KJ:                   Dennison Himmelfarb C, u. a. 2017                   ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the Prevention,                   Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report                   of the American College of Cardiology\/American Heart Association Task Force on                   Clinical Practice Guidelines. J Am Coll                   Cardiol 2018; 71:                   e127\u2013248."},{"key":"c20","doi-asserted-by":"crossref","unstructured":"Hauspurg A,                      Sutton EF,                      Catov JM,                      Caritis SN:                   Aspirin effect on adverse pregnancy outcomes associated with stage                   1 hypertension in a high-risk cohort. Hypertens                   Dallas Tex 1979 2018; 72:                   202\u2013207.","DOI":"10.1161\/HYPERTENSIONAHA.118.11196"},{"key":"c21","doi-asserted-by":"crossref","unstructured":"Franklin SS,                      Thijs L,                      Hansen TW,                      O\u2019Brien E,                      Staessen JA:                   White-coat hypertension: new insights from recent                   studies. Hypertens Dallas Tex                   1979 2013; 62:                   982\u2013987.","DOI":"10.1161\/HYPERTENSIONAHA.113.01275"},{"key":"c22","doi-asserted-by":"crossref","unstructured":"Brown MA,                      Mangos G,                      Davis G,                      Homer C:                   The natural history of white coat hypertension during                   pregnancy. BJOG Int J Obstet                   Gynaecol 2005; 112:                   601\u2013606.","DOI":"10.1111\/j.1471-0528.2004.00516.x"},{"key":"c23","doi-asserted-by":"crossref","unstructured":"Brown MA:                   Pre-eclampsia: proteinuria in pre-eclampsia \u2013 does it matter                   any more?Nat Rev                   Nephrol 2012; 8:                   563\u2013565.","DOI":"10.1038\/nrneph.2012.190"},{"key":"c24","doi-asserted-by":"crossref","unstructured":"Lindheimer MD,                      Kanter D:                   Interpreting abnormal proteinuria in pregnancy: the need for a more                   pathophysiological approach. Obstet                   Gynecol 2010; 115:                   365\u2013375.","DOI":"10.1097\/AOG.0b013e3181cb9644"},{"key":"c25","doi-asserted-by":"crossref","unstructured":"Tranquilli AL,                      Brown MA,                      Zeeman GG,                      Dekker G,                      Sibai BM:                   The definition of severe and early-onset preeclampsia. Statements                   from the International Society for the Study of Hypertension in Pregnancy                   (ISSHP). Pregnancy                   Hypertens 2013; 3:                   44\u201347.","DOI":"10.1016\/j.preghy.2012.11.001"},{"key":"c26","doi-asserted-by":"crossref","unstructured":"Phipps E,                      Prasanna D,                      Brima W,                      Jim B:                   Preeclampsia: Updates in Pathogenesis, Definitions, and                   Guidelines. Clin J Am Soc Nephrol                   CJASN 2016; 11:                   1102\u20131113.","DOI":"10.2215\/CJN.12081115"},{"key":"c27","unstructured":"Rolnik DL,                      Wright D,                      Poon LC,                   et al.: Aspirin versus placebo in pregnancies at high                   risk for preterm preeclampsia. N Engl J Med.                   17 2017; 377:                   613\u2013622."}],"container-title":["Praxis"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1661-8157\/a003100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T09:08:18Z","timestamp":1615972098000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1661-8157\/a003100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":27,"journal-issue":{"issue":"24","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1024\/1661-8157\/a003100"],"URL":"https:\/\/doi.org\/10.1024\/1661-8157\/a003100","relation":{},"ISSN":["1661-8157","1661-8165"],"issn-type":[{"value":"1661-8157","type":"print"},{"value":"1661-8165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}