Wolff Gregory A, Weitzel Nathaen S
University of Colorado Denver, Aurora, USA.
Semin Cardiothorac Vasc Anesth. 2011 Sep;15(3):85-97. doi: 10.1177/1089253211420302.
Physiologic changes incurred by pregnancy can cause severe decompensation in the parturient with underlying cardiac disease. The result is increased morbidity and mortality for both mother and child. Appropriate anesthetic management can significantly impact these outcomes. This review systematically presents the pathophysiology, peripartum risk, and anesthetic management in the puerperium of specific acquired cardiac abnormalities including: valvular disease, pulmonary hypertension, cardiomyopathy, cardiac transplantation, ischemia, arrhythmias, and cardiac arrest.
妊娠引起的生理变化可导致患有基础心脏病的产妇严重失代偿。其结果是母婴的发病率和死亡率增加。适当的麻醉管理可显著影响这些结局。本综述系统地介绍了特定获得性心脏异常在产褥期的病理生理学、围产期风险和麻醉管理，这些异常包括：瓣膜病、肺动脉高压、心肌病、心脏移植、缺血、心律失常和心脏骤停。
