Matshela Mamotabo R
University of KwaZulu-Natal, Durban; Mediclinic Heart Hospital, Pretoria, South Africa; London School of Economics and Political Science, London, UK. Email:
Cardiovasc J Afr. 2018;29(2):e8-e12. doi: 10.5830/CVJA-2017-050. Epub 2018 Mar 27.
Ischaemic heart disease (IHD) is presumed to be rare in pregnancy. Based on that assumption, patients go undiagnosed or undertreated. IHD in pregnancy frequently occurs as a result of an unusual aetiology, therefore each patient needs to be managed individually since each may present differently. This may pose challenges to the consulting clinician. Pregnancy itself is a risk factor for cardiovascular disease, due to its associated hypercoagulable state. From current reports, the prevalence of IHD in females is increasing due to lifestyle changes, including cigarette smoking, diabetes and stress. In our modern societies, women delay childbearing until they are older, allowing time for risk factors to cluster. Although presumed to be rare in pregnant women, IHD is currently estimated to occur three to four times more often during pregnancy in middle- and high-income women, warranting an extensive review highlighting cases of IHD in pregnancy.
缺血性心脏病（IHD）在孕期被认为较为罕见。基于这一假设，患者往往未被诊断或治疗不足。孕期缺血性心脏病常因不寻常的病因引发，因此每个患者都需个体化管理，因为他们的表现可能各不相同。这可能给会诊医生带来挑战。妊娠本身就是心血管疾病的一个风险因素，因其伴有高凝状态。从目前的报告来看，由于生活方式的改变，包括吸烟、糖尿病和压力等，女性缺血性心脏病的患病率正在上升。在现代社会，女性生育年龄推迟，使得风险因素有了聚集的时间。尽管缺血性心脏病在孕妇中被认为罕见，但目前估计在中高收入女性孕期发生的频率是其他情况的三到四倍，因此有必要进行广泛综述，突出孕期缺血性心脏病的病例。
