Division of Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Barbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, California, USA.
J Am Coll Cardiol. 2021 Apr 13;77(14):1799-1812. doi: 10.1016/j.jacc.2021.01.057.
Acquired cardiovascular conditions are a leading cause of maternal morbidity and mortality. A growing number of pregnant women have acquired and heritable cardiovascular conditions and cardiovascular risk factors. As the average age of childbearing women increases, the prevalence of acute coronary syndromes, cardiomyopathy, and other cardiovascular complications in pregnancy are also expected to increase. This document, the third of a 5-part series, aims to provide practical guidance on the management of such conditions encompassing pre-conception through acute management and considerations for delivery.
后天获得性心血管疾病是孕产妇发病率和死亡率的主要原因。越来越多的孕妇患有后天获得性和遗传性心血管疾病以及心血管危险因素。随着生育妇女平均年龄的增加,妊娠急性冠状动脉综合征、心肌病和其他心血管并发症的患病率预计也会增加。本文件是 5 部分系列中的第 3 部分,旨在就从受孕前到急性管理和分娩考虑等各个方面管理此类疾病提供实用指南。