Saint Luke's Mid America Heart Institute and Muriel Kauffman Women's Heart Center, 4401 Wornall Road, Kansas City, MO 64111, USA.
Saint Luke's Mid America Heart Institute and Muriel Kauffman Women's Heart Center, 4401 Wornall Road, Kansas City, MO 64111, USA.
Cardiol Clin. 2021 Feb;39(1):1-5. doi: 10.1016/j.ccl.2020.09.001. Epub 2020 Nov 2.
The United States is the only industrialized nation with an increasing maternal mortality. Many factors contribute to this worrisome US trend; among them, social and demographic factors, and congenital and acquired cardiac conditions. Cardiovascular disease is the leading cause of maternal mortality, and adverse outcomes related to cardiovascular disease disproportionately affect black and Hispanic mothers. This article addresses knowledge gaps related to the treatment of heart disease in pregnancy, initiatives to address these gaps, and guidelines and best practices surrounding the care of women affected by cardiovascular disease and their babies affected by cardiovascular disease.
美国是唯一一个孕产妇死亡率不断上升的工业化国家。许多因素导致了这一令人担忧的美国趋势;其中包括社会和人口因素,以及先天性和后天性心脏状况。心血管疾病是孕产妇死亡的主要原因,与心血管疾病相关的不良后果不成比例地影响黑人和西班牙裔母亲。本文讨论了与妊娠期间心脏病治疗相关的知识差距、解决这些差距的举措,以及围绕心血管疾病妇女及其心血管疾病婴儿护理的指南和最佳实践。