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One thing that has become abundantly clear
since the disease was recognized 100 years ago is that for the vast majority of patients
that increase in blood pressure are not pathophysiologically important. We're not talking
about really high blood pressure and we're not talking about real dysfunction to the point
that women are sick from it. So you have to be awfully careful when you're trying to
prevent a disease that is based on pure signs that you understand all that well, that
you're not just preventing the diagnosis. You want to be sure that you're preventing
something about the disease that matters. For example, if you had a drug that lowers blood
pressure and prevents proteinuria, would you really be reducing the incidence of
preeclampsia, or have you just prevented the diagnosis? The ravages that are hurting the
mother and the baby continue in a vast amount of treatment. |