Heida Karst Y, Franx Arie, Bots Michiel L
Universitair Medisch Centrum Utrecht, Utrecht.
Ned Tijdschr Geneeskd. 2013;157(34):A6255.
Cardiovascular diseases (CVD) are the primary cause of death in women. Guidelines for identifying high-risk individuals have been developed, e.g. the Dutch Guideline on Cardiovascular Risk Management. In the most recent version of this guideline, diabetes mellitus (DM) and rheumatoid arthritis (RA) are cited as cardiovascular risk factors; therefore, individuals with these conditions are identified as being at high risk. As with DM and RA, there is strong evidence that the experience of having a hypertensive disorder during pregnancy is a cardiovascular risk factor. This is particularly the case for early preeclampsia, which constitutes a 7-fold increased risk of ischemic heart disease. However, in the Netherlands, there are no guidelines and there is no consensus on how to screen or treat these women. Trial evidence is therefore urgently needed to substantiate the value of cardiovascular risk management for those women with a history of hypertension during pregnancy.
心血管疾病（CVD）是女性死亡的主要原因。已制定了识别高危个体的指南，例如荷兰心血管风险管理指南。在该指南的最新版本中，糖尿病（DM）和类风湿性关节炎（RA）被列为心血管危险因素；因此，患有这些疾病的个体被认定为高危人群。与糖尿病和类风湿性关节炎一样，有强有力的证据表明，孕期患高血压疾病是一种心血管危险因素。早期先兆子痫尤其如此，其患缺血性心脏病的风险增加了7倍。然而，在荷兰，没有关于如何筛查或治疗这些女性的指南，也未达成共识。因此，迫切需要试验证据来证实对有孕期高血压病史的女性进行心血管风险管理的价值。
