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围产期心肌病,如果你的患者计划再次怀孕会怎样?

Peripartum cardiomyopathy, what if your patient plans to reconceive?

作者信息

Al Bannay Rashed, Husain Aysha, AlJufairi Zainab

机构信息

Cardiology unit Salmaniya Medical Complex Kingdom of Bahrain.

Obstetrics and Gynecology Salmaniya Medical Complex Kingdom of Bahrain.

出版信息

Clin Case Rep. 2017 Apr 4;5(6):753-756. doi: 10.1002/ccr3.935. eCollection 2017 Jun.

Abstract

Patients with peripartum cardiomyopathy (PPCM) often express a desire to conceive again, and the risk of relapse in future pregnancies should be disclosed. No consensus is available that can determine that risk. Adequate contractile reserve, evidenced by a stress echocardiogram (exercise or dobutamine), can identify those with lower relapse risk.

摘要

围产期心肌病(PPCM)患者常常表达再次怀孕的愿望,应当告知其未来妊娠复发的风险。目前尚无能够确定该风险的共识。通过负荷超声心动图(运动或多巴酚丁胺)证明的足够收缩储备,可以识别复发风险较低的患者。

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