Davies Gregory A L, Herbert William N P
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON, Canada.
J Obstet Gynaecol Can. 2007 Jun;29(6):507-9. doi: 10.1016/s1701-2163(16)32472-0.
The incidence of rheumatic heart disease in most industrialized countries is decreasing. Those women who have regurgitant lesions will commonly experience an improvement in symptoms, and therapy is required only in the most severe cases. Women with mild to moderate stenotic lesions can usually expect a good outcome to pregnancy, but women with severe stenotic lesions require close monitoring by both their obstetricians and their cardiologists, especially during the third trimester, labour and delivery, and the early postpartum period. This is the third in a series of five articles reviewing in detail the assessment and management of specific cardiac disorders in pregnancy.
大多数工业化国家风湿性心脏病的发病率正在下降。患有反流性病变的女性通常症状会有所改善，仅在最严重的病例中才需要治疗。轻度至中度狭窄性病变的女性通常妊娠结局良好，但重度狭窄性病变的女性需要产科医生和心脏病专家密切监测，尤其是在妊娠晚期、分娩期及产后早期。这是五篇系列文章中的第三篇，详细回顾了妊娠期间特定心脏疾病的评估和管理。
