心血管风险评估和妊娠心脏团队在妊娠期间心血管疾病管理中的重要性。

The Importance of Cardiovascular Risk Assessment and Pregnancy Heart Team in the Management of Cardiovascular Disease in Pregnancy.

机构信息

Division of Cardiology, Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine and Hospital, 1800 Orleans Street, Zayed 7125s, Baltimore, MD 21287, USA.

出版信息

Cardiol Clin. 2021 Feb;39(1):7-19. doi: 10.1016/j.ccl.2020.09.002.

DOI:10.1016/j.ccl.2020.09.002

PMID:33222816

Abstract

Pregnancy-related maternal morbidity and mortality is increasing because of complications from cardiovascular disease. Pregnancy results in physiologic changes that can adversely impact the cardiovascular system and lead to adverse pregnancy outcomes. A multidisciplinary pregnancy heart team is essential to safely navigate women with heart disease through pregnancy. This role of the pregnancy heart team is to offer preconception counseling, determine pregnancy risks and educate women about those risks, develop a comprehensive antenatal and delivery plan, and ensure appropriate postpartum follow-up. These steps are important to improve cardiovascular outcomes in pregnancy.

摘要

由于心血管疾病并发症的增加，与妊娠相关的产妇发病率和死亡率正在上升。妊娠会引起生理变化，从而对心血管系统产生不利影响，并导致不良的妊娠结局。一个多学科的妊娠心脏团队对于安全地让患有心脏病的女性度过妊娠至关重要。妊娠心脏团队的作用是提供孕前咨询，确定妊娠风险并教育女性这些风险，制定全面的产前和分娩计划，并确保适当的产后随访。这些步骤对于改善妊娠期间的心血管结局非常重要。