Borhart Joelle, Palmer Jessica
Department of Emergency Medicine, MedStar Georgetown University Hospital & Washington Hospital Center, 3800 Reservoir Road, Washington, DC 20007, USA.
Department of Emergency Medicine, MedStar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735, USA.
Emerg Med Clin North Am. 2019 May;37(2):339-350. doi: 10.1016/j.emc.2019.01.010. Epub 2019 Mar 8.
Cardiovascular disease has overtaken all other causes of maternal death in the United States. The physiologic changes of pregnancy place a significant amount of stress on the cardiovascular system and put pregnant women at risk for potentially catastrophic complications, such as pulmonary embolism, aortic or coronary artery dissection, myocardial infarction, and peripartum cardiomyopathy. The diagnosis of these conditions is challenging because the symptoms can mimic those experienced in normal pregnancies. There are subtle differences in the diagnosis and treatment of cardiovascular emergencies in pregnant patients that clinicians must be aware of; however, the overall management goals are similar.
在美国，心血管疾病已超过所有其他导致孕产妇死亡的原因。怀孕时的生理变化给心血管系统带来了巨大压力，使孕妇面临潜在灾难性并发症的风险，如肺栓塞、主动脉或冠状动脉夹层、心肌梗死和围产期心肌病。这些病症的诊断具有挑战性，因为其症状可能与正常妊娠时的症状相似。临床医生必须了解怀孕患者心血管急症在诊断和治疗方面存在细微差异；然而，总体管理目标是相似的。
