McGregor Alyson J, Barron Rebecca, Rosene-Montella Karen
Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, 02903.
Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, 02903.
Am J Emerg Med. 2015 Apr;33(4):573-9. doi: 10.1016/j.ajem.2015.02.046. Epub 2015 Mar 7.
Cardiovascular emergencies in pregnant patients are often considered a rare event; however, heart disease as a cause of maternal mortality is steadily increasing.
In this article, we review 3 common cardiovascular emergencies and the important subtle differences in their treatment in the pregnant patient: peripartum/postpartum cardiomyopathy, acute myocardial infarction, and cardiac resuscitation.
Managing these conditions in the emergency department setting requires a high index of suspicion, knowledge of anatomical and physiologic changes associated with pregnancy, and updated management strategies related to optimizing maternal and fetal health.
孕妇发生心血管急症通常被认为是罕见事件；然而，作为孕产妇死亡原因的心脏病却在稳步增加。
在本文中，我们回顾了3种常见的心血管急症以及在孕妇治疗中它们的重要细微差异：围产期/产后心肌病、急性心肌梗死和心脏复苏。
在急诊科处理这些情况需要高度的怀疑意识、对与妊娠相关的解剖和生理变化的了解以及与优化母婴健康相关的最新管理策略。
