Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, 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):1823-1834. doi: 10.1016/j.jacc.2021.02.025.
The majority of reproductive-age women with cardiovascular disease are sexually active. Early and accurate counseling by the cardiovascular team regarding disease-specific contraceptive safety and effectiveness is imperative to preventing unplanned pregnancies in this high-risk group of patients. This document, the final of a 5-part series, provides evidence-based recommendations regarding contraceptive options for women with, or at high risk for, cardiovascular disease as well as recommendations regarding pregnancy termination for women at excessive cardiovascular mortality risk due to pregnancy.
大多数患有心血管疾病的育龄妇女都有性生活。心血管团队必须尽早并准确地对其进行疾病相关避孕安全性和有效性方面的咨询,以避免该高风险患者群体出现意外妊娠。这是 5 部分系列的最后一部分文件,提供了针对患有心血管疾病或有心血管疾病高危因素的女性的避孕选择的循证推荐,以及针对因妊娠而面临过高心血管死亡风险的女性的终止妊娠推荐。