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妊娠高血压疾病与女性未来心血管疾病风险

Hypertensive Disorders of Pregnancy and Risk of Future Cardiovascular Disease in Women.

作者信息

Vahedi Farnoosh Asghar, Gholizadeh Leila, Heydari Mehrdad

出版信息

Nurs Womens Health. 2020 Apr;24(2):91-100. doi: 10.1016/j.nwh.2020.02.001. Epub 2020 Feb 28.

DOI:10.1016/j.nwh.2020.02.001
PMID:32119830
Abstract

Cardiovascular disease continues to be the leading cause of mortality in women globally. In addition to traditional risk factors, some sex-specific conditions increase the burden of cardiovascular disease in women. With this literature review, we aimed to review evidence on associations between hypertensive disorders of pregnancy and risk of cardiovascular disease in later life. After a database search and application of inclusion and exclusion criteria, 11 studies were included in the review. Our findings suggest that a history of preeclampsia, gestational hypertension, or elevated systolic blood pressure alone during pregnancy is consistently associated with increased risk of developing and dying from myocardial infarction, heart failure, hypertension, and/or stroke in later life. Nurses and other health care providers should be aware of the cardiovascular risk associated with hypertensive disorders of pregnancy and engage women at risk in discussions about health promotion strategies and interventions to address modifiable cardiovascular disease risk factors.

摘要

心血管疾病仍然是全球女性死亡的主要原因。除了传统风险因素外,一些特定性别的疾病增加了女性心血管疾病的负担。通过本次文献综述,我们旨在回顾妊娠高血压疾病与晚年心血管疾病风险之间关联的证据。在进行数据库检索并应用纳入和排除标准后,本综述纳入了11项研究。我们的研究结果表明,子痫前期、妊娠期高血压病史,或仅孕期收缩压升高,均与晚年发生心肌梗死、心力衰竭、高血压和/或中风以及死于这些疾病的风险增加持续相关。护士和其他医疗保健提供者应意识到妊娠高血压疾病相关的心血管风险,并让有风险的女性参与有关健康促进策略和干预措施的讨论,以应对可改变的心血管疾病风险因素。

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Hypertensive Disorders of Pregnancy and Risk of Future Cardiovascular Disease in Women.妊娠高血压疾病与女性未来心血管疾病风险
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