Department of Medicine, Division of Cardiology, and Maternal Fetal Medicine-Cardiology Joint Program at the Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
Department of Obstetrics and Gynecology, Maternal and Child Health Research Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Clin Obstet Gynecol. 2020 Dec;63(4):910-922. doi: 10.1097/GRF.0000000000000570.
The number of reproductive age women with valvular heart disease is rising and accounts for one third of all heart disease among pregnant women. Severe, symptomatic left-sided cardiac lesions, particularly mitral and aortic stenosis, and mechanical heart valves, are associated with adverse maternal and fetal outcomes. Decreasing maternal and fetal risk requires shared decision-making among patients and the heart team, consisting of obstetricians, maternal-fetal medicine subspecialists, and cardiologists.
患有瓣膜性心脏病的育龄期女性人数正在增加，占孕妇所有心脏病的三分之一。严重的、有症状的左侧心脏病变，特别是二尖瓣和主动脉瓣狭窄以及机械心脏瓣膜，与不良的母婴结局相关。降低母婴风险需要患者和心脏团队（包括产科医生、母胎医学专家和心脏病专家）之间进行共同决策。
