Hall Michael E, George Eric M, Granger Joey P
Department of Medicine, Division of Cardiology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Rev Esp Cardiol. 2011 Nov;64(11):1045-50. doi: 10.1016/j.recesp.2011.07.009. Epub 2011 Oct 1.
During pregnancy, there are a number of important changes to cardiovascular function which are necessary for progression of a successful pregnancy. Additionally, preexisting cardiovascular conditions can be exacerbated by the adaptations that occur during gestation. These can present serious therapeutic challenges in the management of the cardiology patient during pregnancy. Significantly, the number of pregnant women at risk of cardiovascular complications is on the rise, so identification of risk factors that predict cardiac outcomes is essential to proper screening of the obstetrical patient. In diagnosed preexisting conditions, such as pulmonary hypertension, counseling is important prior to pregnancy. In the case of underlying disorders unmasked by pregnancy, or new-onset complications like preeclampsia, appropriate monitoring and treatment of the cardiovascular complications is warranted. Ultimately, collaborative care by both obstetricians and cardiologists is essential for the successful resolution of cardiovascular dysfunction in the obstetrical patient.
在怀孕期间，心血管功能会发生许多重要变化，这些变化是成功怀孕过程所必需的。此外，妊娠期间发生的适应性变化可能会使先前存在的心血管疾病恶化。这在孕期心脏病患者的管理中会带来严峻的治疗挑战。值得注意的是，有心血管并发症风险的孕妇数量正在上升，因此识别预测心脏结局的风险因素对于产科患者的正确筛查至关重要。对于已确诊的先前存在的疾病，如肺动脉高压，怀孕前的咨询很重要。对于因怀孕而暴露的潜在疾病或子痫前期等新发并发症，有必要对心血管并发症进行适当的监测和治疗。最终，产科医生和心脏病专家的协作护理对于成功解决产科患者的心血管功能障碍至关重要。
