妊娠期心脏瓣膜病。
Valvular Heart Disease in Pregnancy.
机构信息
Division of Cardiology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, 2-East Pavilion, Philadelphia, PA 19104, USA.
Philadelphia Adult Congenital Heart Center, University of Pennsylvania, Children's Hospital of Philadelphia, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, 2- East Pavilion, Philadelphia, PA 19104, USA.
出版信息
Cardiol Clin. 2021 Feb;39(1):151-161. doi: 10.1016/j.ccl.2020.09.010. Epub 2020 Nov 2.
Abstract
Valvular heart disease (VHD) is generally well tolerated during pregnancy; however, the dramatic changes in hemodynamics that occur during pregnancy can lead to clinical decompensation in high-risk women. Women with VHD considering pregnancy should undergo preconception counseling with a high-risk obstetrician and cardiologist to review the maternal, fetal, and obstetric risks of pregnancy and delivery. Vaginal delivery is recommended for most women with VHD. Given the complexity of managing VHD during pregnancy, women should be managed by a multidisciplinary Pregnancy Heart Team during pregnancy, consisting of a high-risk obstetrician, cardiologist, and cardiac anesthesiologist.
摘要
瓣膜性心脏病（VHD）在怀孕期间通常能很好地耐受；然而，怀孕期间血液动力学的显著变化可导致高危女性发生临床失代偿。考虑妊娠的 VHD 女性应在高危产科医生和心脏病专家的孕前咨询下，评估妊娠和分娩的母婴和产科风险。大多数 VHD 女性推荐阴道分娩。鉴于怀孕期间 VHD 管理的复杂性，在怀孕期间应由高危产科医生、心脏病专家和心脏麻醉师组成的多学科妊娠心脏团队来管理女性。
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