Richartz B M, Nienaber C A
Kardiologische Praxis, München, Deutschland.
Herz. 2014 Aug;39(5):605-18. doi: 10.1007/s00059-014-4131-0.
All women of child-bearing age suffering from congenital cardiac valve malformations or acquired valvular disease, pulmonary hypertension or arterial hypertension and who are at risk for coronary heart disease should receive early counseling and optimal treatment before pregnancy. They should be treated by an interdisciplinary team composed of gynecologists, cardiologists, geneticists and, if necessary, cardiac surgeons. This interdisciplinary approach should be used for all pregnant women with cardiac disease in order to minimize maternal and fetal mortality. As physicians will only rarely be confronted with such critically ill patients, guidelines and access to worldwide information from databanks are particularly important (http://www.safetus.com und http://www.emryotox.de).
所有患有先天性心脏瓣膜畸形、后天性瓣膜疾病、肺动脉高压或动脉高血压且有冠心病风险的育龄妇女，在怀孕前应接受早期咨询和最佳治疗。应由妇科医生、心脏病专家、遗传学家以及必要时的心脏外科医生组成的跨学科团队对她们进行治疗。这种跨学科方法应用于所有患有心脏病的孕妇，以尽量降低孕产妇和胎儿死亡率。由于医生很少会遇到如此重症的患者，因此指南以及获取来自数据库的全球信息尤为重要（http://www.safetus.com 和 http://www.emryotox.de）。
