Division of Cardiology Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Diseases Johns Hopkins University School of Medicine Baltimore MD.
Division of Cardiology Corrigan Minehan Heart Center Massachusetts General Hospital Harvard Medical School Boston MA.
J Am Heart Assoc. 2020 Jun 16;9(12):e015569. doi: 10.1161/JAHA.119.015569. Epub 2020 Jun 2.
Maternal mortality in the United States is the highest among all developed nations, partly because of the increased prevalence of cardiovascular disease in pregnancy and beyond. There is growing recognition that specialists involved in caring for obstetric patients with cardiovascular disease need training in the new discipline of cardio-obstetrics. Training can include integrated formal cardio-obstetrics curricula in general cardiovascular disease training programs, and developing and disseminating joint cardiac and obstetric societal guidelines. Other efforts to help strengthen the cardio-obstetric field include increased collaborations and advocacy efforts between stakeholder organizations, development of US-based registries, and widespread establishment of multidisciplinary pregnancy heart teams. In this review, we present the current challenges in creating a cardio-obstetrics community, present the growing need for education and training of cardiovascular disease practitioners skilled in the care of obstetric patients, and identify potential solutions and future efforts to improve cardiovascular care of this high-risk patient population.
美国的孕产妇死亡率在所有发达国家中最高，部分原因是妊娠和妊娠后心血管疾病的患病率增加。人们越来越认识到，参与治疗心血管疾病产妇的专家需要在新的妇产心脏病学领域接受培训。培训可以包括在一般心血管疾病培训计划中纳入综合的正式妇产心脏病学课程，并制定和传播联合心脏和产科协会指南。帮助加强妇产心脏病学领域的其他努力包括利益相关者组织之间增加合作和宣传工作、开发基于美国的注册处，以及广泛建立多学科妊娠心脏团队。在这篇综述中，我们介绍了在创建妇产心脏病学社区方面面临的当前挑战，提出了对熟练治疗产科患者的心血管疾病从业者进行教育和培训的日益增长的需求，并确定了改善这一高风险患者群体心血管护理的潜在解决方案和未来努力方向。
