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JACC Heart Fail. 2016 May;4(5):380-8. doi: 10.1016/j.jchf.2016.01.004. Epub 2016 Mar 9.
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Clinical Characteristics and Long-term Predictors of Persistent Left Ventricular Systolic Dysfunction in Peripartum Cardiomyopathy.围产期心肌病持续性左心室收缩功能障碍的临床特征及长期预测因素
Can J Cardiol. 2016 Mar;32(3):362-8. doi: 10.1016/j.cjca.2015.07.733. Epub 2015 Aug 15.
3
Clinical Outcomes for Peripartum Cardiomyopathy in North America: Results of the IPAC Study (Investigations of Pregnancy-Associated Cardiomyopathy).北美围产期心肌病的临床结局：IPAC研究（妊娠相关心肌病调查）结果
J Am Coll Cardiol. 2015 Aug 25;66(8):905-14. doi: 10.1016/j.jacc.2015.06.1309.
4
Peripartum cardiomyopathy: predictors of recovery and current state of implantable cardioverter-defibrillator use.围生期心肌病：恢复的预测因素和植入式心脏复律除颤器的使用现状。
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt A):2831-9. doi: 10.1016/j.jacc.2014.04.014. Epub 2014 May 7.
5
Pregnancy as a cardiac stress model.妊娠作为一种心脏应激模型。
Cardiovasc Res. 2014 Mar 15;101(4):561-70. doi: 10.1093/cvr/cvu013. Epub 2014 Jan 20.
6
Low-flow, low-gradient aortic stenosis with normal and depressed left ventricular ejection fraction.低流量、低梯度主动脉瓣狭窄伴正常和降低的左心室射血分数。
J Am Coll Cardiol. 2012 Nov 6;60(19):1845-53. doi: 10.1016/j.jacc.2012.06.051. Epub 2012 Oct 10.
7
Morphological and functional adaptation of the maternal heart during pregnancy.妊娠期间母体心脏的形态和功能适应性。
Circ Cardiovasc Imaging. 2012 May 1;5(3):289-97. doi: 10.1161/CIRCIMAGING.111.970012. Epub 2012 Mar 28.
8
Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy.围生期心肌病的病因、诊断、治疗和管理的现有知识状况：欧洲心脏病学会心力衰竭协会围生期心肌病工作组的立场声明。
Eur J Heart Fail. 2010 Aug;12(8):767-78. doi: 10.1093/eurjhf/hfq120.
9
Risk of heart failure relapse in subsequent pregnancy among peripartum cardiomyopathy mothers.围生期心肌病母亲再次妊娠发生心力衰竭的风险。
Int J Gynaecol Obstet. 2010 Apr;109(1):34-6. doi: 10.1016/j.ijgo.2009.10.011. Epub 2009 Nov 30.
10
Stress Echocardiography Expert Consensus Statement--Executive Summary: European Association of Echocardiography (EAE) (a registered branch of the ESC).应激超声心动图专家共识声明——执行摘要：欧洲超声心动图协会（EAE）（欧洲心脏病学会的注册分支机构）。
Eur Heart J. 2009 Feb;30(3):278-89. doi: 10.1093/eurheartj/ehn492. Epub 2008 Nov 11.

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.

DOI:10.1002/ccr3.935
PMID:28588804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5458024/
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。