Pijuan Domènech Antonia, Gatzoulis Michael A
Spanish Society of Cardiology, Royal Brompton Hospital, Londres, Reino Unido.
Rev Esp Cardiol. 2006 Sep;59(9):971-84. doi: 10.1157/13092801.
Pregnancy and delivery are associated with substantial physiological changes that require adaptations in the cardiovascular system. These changes, well-tolerated in pregnant women without heart disease, expose woman with cardiovascular disease to serious risk. In fact, heart disease is the most frequent cause of maternal death, after psychiatric disorders, and the number of pregnant women with heart disease is expected to grow in the coming years. Preventing cardiovascular complications should be the main aim of every cardiologist involved in managing pregnant woman with congenital or acquired heart disease. Unfortunately, there is a lack of data which would help in the management of these patients during pregnancy and the clinical practice guidelines are often based on assumptions regarding how a specific substrate is going to respond to the physiological changes occurring due to pregnancy.
怀孕和分娩伴随着大量的生理变化，这些变化需要心血管系统进行适应性调整。这些变化在没有心脏病的孕妇中能够很好地耐受，但却使患有心血管疾病的女性面临严重风险。事实上，心脏病是仅次于精神疾病的孕产妇死亡最常见原因，预计未来几年患有心脏病的孕妇数量将会增加。预防心血管并发症应该是每位参与管理患有先天性或后天性心脏病孕妇的心脏病专家的主要目标。不幸的是，缺乏有助于在孕期管理这些患者的数据，临床实践指南往往基于关于特定疾病状况将如何应对因怀孕而发生的生理变化的假设。
