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妊娠高血压的长期心血管影响——一个被忽视的机会。

The long-term cardiovascular impact of hypertension in pregnancy - A missed opportunity.

机构信息

School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, New South Wales, Australia.

Department of Women's Health, St George Hospital, Sydney, New South Wales, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2021 Jun;61(3):474-477. doi: 10.1111/ajo.13335. Epub 2021 Mar 18.

DOI:10.1111/ajo.13335
PMID:33734427
Abstract

Women who have had hypertension in pregnancy, both pre-eclampsia and gestational hypertension, have a two- to three-fold increased risk of cardiovascular disease later in life. It is unclear whether this is an unmasking of latent risk, the result of damage to the vascular tree during pregnancy, or both. Irrespective of the underlying pathophysiology, these women are uniquely identified sufficiently early in their lives for lifestyle interventions, if adopted, to improve their long-term health. Currently, follow-up of these women is inadequate and implementation of a coordinated follow-up program, and further research into how best to provide it, is urgently needed.

摘要

患有妊娠高血压(包括子痫前期和妊娠期高血压)的女性,其日后发生心血管疾病的风险会增加两到三倍。目前尚不清楚这种情况是潜在风险的显现,还是妊娠期间血管损伤的结果,亦或是两者皆有。无论潜在的病理生理学机制如何,这些女性在其生命早期就已经被明确识别出来,此时如果采取生活方式干预措施,将改善她们的长期健康状况。目前,对这些女性的随访不足,迫切需要实施协调一致的随访计划,并进一步研究如何提供最佳的随访服务。

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