From the 1st Department of Cardiology, AHEPA University Hospital, Thessaloniki, Greece.
Cardiol Rev. 2017 Nov/Dec;25(6):326-330. doi: 10.1097/CRD.0000000000000160.
The majority of female patients with congenital heart disease (CHD) survives into childbearing age and require evidence-based counseling regarding pregnancy options. Even though most of them will have an uneventful pregnancy, they may be at high risk of cardiac, obstetric, and fetal complications. Predictive factors for these complications have been previously identified in numerous studies and with the use of specific scores [CARdiac disease in PREGnancy, Zwangerschap bij Aangeboren HARtAfwijkingen, and World Health Organization (WHO) risk stratification.] Importantly, the subtype of CHD is of vital importance for the pregnancy outcome. Considering the above, the multidisciplinary management of these pregnant patients by experts in the field of CHD is imperative.
大多数患有先天性心脏病 (CHD) 的女性患者都能存活到生育年龄，并需要有循证医学依据的妊娠选择咨询。尽管她们中的大多数人会有一个无并发症的妊娠，但她们可能面临心脏、产科和胎儿并发症的高风险。这些并发症的预测因素已在许多研究中确定，并使用特定的评分[妊娠先天性心脏病、先天性心脏病妊娠和世界卫生组织 (WHO) 风险分层]。重要的是，CHD 的亚型对妊娠结局至关重要。有鉴于此，由 CHD 领域的专家对这些孕妇进行多学科管理是至关重要的。
