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相对性窦性心动过缓:子痫前期合并急性肺水肿中的意外发现。

Relative Sinus Bradycardia: An Unexpected Finding in Preeclampsia With Acute Pulmonary Edema.

作者信息

Angsubhakorn Natthapon, Benditt David

机构信息

Department of Medicine, University of Minnesota, Minneapolis, USA.

Cardiac Arrhythmia Center, Cardiovascular Division, University of Minnesota, Minneapolis, USA.

出版信息

Cureus. 2021 Feb 10;13(2):e13262. doi: 10.7759/cureus.13262.

DOI:10.7759/cureus.13262
PMID:33728199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7948310/
Abstract

Preeclampsia is a multifactorial pregnancy-specific syndrome, which can result in significant alterations in cardiovascular hemodynamics. We report an observation of unexpected relative bradycardia in a previously healthy woman who presented with postpartum preeclampsia and acute pulmonary edema. We observed an increase in heart rate following normalization of blood pressure, which suggested that the initial slower than expected heart rate may reflect a baroreceptor response to hypertension. Whether this finding should be regarded as a severe aspect of the disease spectrum needs further study.

摘要

子痫前期是一种多因素的妊娠特异性综合征,可导致心血管血流动力学发生显著改变。我们报告了一例先前健康的女性产后发生子痫前期和急性肺水肿时出现意外性相对心动过缓的观察病例。我们观察到血压恢复正常后心率增加,这表明最初低于预期的心率可能反映了压力感受器对高血压的反应。这一发现是否应被视为疾病谱的一个严重方面,尚需进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/88755cb6c313/cureus-0013-00000013262-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/077592232887/cureus-0013-00000013262-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/9019cb94402e/cureus-0013-00000013262-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/88755cb6c313/cureus-0013-00000013262-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/077592232887/cureus-0013-00000013262-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/9019cb94402e/cureus-0013-00000013262-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f4/7948310/88755cb6c313/cureus-0013-00000013262-i03.jpg

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Changes in the autonomic cardiorespiratory activity in parturient women with severe and moderate features of preeclampsia.

本文引用的文献

1
Paternal Determinants in Preeclampsia.子痫前期中的父系决定因素
Front Physiol. 2019 Jan 7;9:1870. doi: 10.3389/fphys.2018.01870. eCollection 2018.
2
Acute Cardiac Effects of Severe Pre-Eclampsia.严重先兆子痫的急性心脏效应。
J Am Coll Cardiol. 2018 Jul 3;72(1):1-11. doi: 10.1016/j.jacc.2018.04.048.
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Relevance of Haemodynamics in Treating Pre-eclampsia.血流动力学在子痫前期治疗中的相关性
先兆子痫重度和中度特征的产妇妇女自主心呼吸活动的变化。
Front Immunol. 2023 Sep 1;14:1190699. doi: 10.3389/fimmu.2023.1190699. eCollection 2023.
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Maternal bradycardia occurring prior to onset of HELLP syndrome in a woman with pre-eclampsia.一名先兆子痫女性在HELLP综合征发作前出现母体心动过缓。
BMJ Case Rep. 2017 May 13;2017:bcr-2016-217964. doi: 10.1136/bcr-2016-217964.
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Cardiovascular implications in preeclampsia: an overview.子痫前期的心血管影响:综述
Circulation. 2014 Aug 19;130(8):703-14. doi: 10.1161/CIRCULATIONAHA.113.003664.
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Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy.妊娠期高血压。美国妇产科医师学会妊娠期高血压特别工作组报告
Obstet Gynecol. 2013 Nov;122(5):1122-1131. doi: 10.1097/01.AOG.0000437382.03963.88.
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The placenta in preeclampsia.子痫前期中的胎盘。
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