妊娠高血压疾病。
Hypertensive Disorders of Pregnancy.
机构信息
Columbia University Vagelos College of Physicians & Surgeons, 622 West 168th Street, PH 3-342, New York, NY 10032, USA.
Department of Medicine, Division of Cardiology, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, 622 West 168th Street, PH 3-342, New York, NY 10032, USA.
出版信息
Cardiol Clin. 2021 Feb;39(1):77-90. doi: 10.1016/j.ccl.2020.09.005. Epub 2020 Nov 2.
Abstract
Hypertension is the most common medical disorder occurring during pregnancy and a leading cause of maternal and perinatal morbidity and mortality. Accurate blood pressure measurement and the diagnosis and treatment of hypertensive disorders during pregnancy and in the postpartum period are pivotal to improve outcomes. This article details hemodynamic adaptations to pregnancy and provides an approach to the prevention, diagnosis, and management of hypertensive disorders of pregnancy (HDP) and hypertensive emergencies. In addition, it reviews optimal strategies for the care of women with hypertension during the fourth trimester and beyond to minimize future cardiovascular risk.
摘要
高血压是妊娠期间最常见的医学疾病，也是孕产妇发病率和围生儿死亡率的主要原因。准确测量血压以及在妊娠和产后期间诊断和治疗高血压疾病对于改善母婴结局至关重要。本文详细介绍了妊娠期间的血液动力学适应，并提供了一种预防、诊断和管理妊娠高血压疾病（HDP）和高血压急症的方法。此外，还回顾了在第四孕期及以后护理高血压女性的最佳策略，以最大限度地降低未来心血管风险。
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本文引用的文献
1
Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804.孕期和产后期间的体力活动和运动：ACOG 委员会意见，编号 804。
Obstet Gynecol. 2020 Apr;135(4):e178-e188. doi: 10.1097/AOG.0000000000003772.
2
DASH (Dietary Approaches to Stop Hypertension) dietary pattern and maternal blood pressure in pregnancy.DASH（停止高血压的饮食方法）饮食模式与妊娠期间的母体血压。
J Hum Nutr Diet. 2020 Oct;33(5):686-697. doi: 10.1111/jhn.12744. Epub 2020 Mar 20.
3
Hypertensive Disorders of Pregnancy and Risk of Future Cardiovascular Disease in Women.妊娠高血压疾病与女性未来心血管疾病风险
Nurs Womens Health. 2020 Apr;24(2):91-100. doi: 10.1016/j.nwh.2020.02.001. Epub 2020 Feb 28.
4
Maternal Race/Ethnicity, Hypertension, and Risk for Stroke During Delivery Admission.产妇种族/民族、高血压与分娩期间卒中风险。
J Am Heart Assoc. 2020 Feb 4;9(3):e014775. doi: 10.1161/JAHA.119.014775. Epub 2020 Jan 24.
5
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MMWR Morb Mortal Wkly Rep. 2019 May 10;68(18):423-429. doi: 10.15585/mmwr.mm6818e1.
7
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Eur J Obstet Gynecol Reprod Biol. 2019 May;236:46-52. doi: 10.1016/j.ejogrb.2019.01.022. Epub 2019 Mar 5.
9
Maternal outcomes by race during postpartum readmissions.按种族划分的产后再入院产妇结局。
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