妊娠相关不适当窦性心动过速：母婴结局的队列分析
Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes.
作者信息
Sharp Alexander, Patient Charlotte, Pickett Janet, Belham Mark
机构信息
Department of Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Department of Obstetrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
出版信息
Obstet Med. 2021 Dec;14(4):230-234. doi: 10.1177/1753495X21990196. Epub 2021 Mar 16.
BACKGROUND
Little literature exists regarding the syndrome of inappropriate sinus tachycardia during pregnancy. We aimed to further understand the natural history of inappropriate sinus tachycardia in pregnancy, and to explore maternal and fetal outcomes.
METHODS
A retrospective, observational cohort analysis of 19 pregnant women who presented with inappropriate sinus tachycardia.
RESULTS
42% attended the emergency department on more than one occasion with symptoms of inappropriate sinus tachycardia; 32% required hospital admission and 26% required pharmacological therapy. There were no maternal deaths, instances of heart failure or acute coronary syndrome, and no thromboembolic or haemorrhagic complications during pregnancy. Rates of caesarean section were similar to the background rate of our unit (32% and 27%, respectively). Rates of induction were notably elevated (58% vs 25%).
CONCLUSION
Inappropriate sinus tachycardia in pregnancy is associated with high rates of hospitalization and induction of labour, which may not be mandatory given the clinical findings in this group of women.
背景
关于妊娠期不适当窦性心动过速综合征的文献较少。我们旨在进一步了解妊娠期不适当窦性心动过速的自然病史，并探讨母婴结局。
方法
对19例出现不适当窦性心动过速的孕妇进行回顾性观察队列分析。
结果
42%的患者因不适当窦性心动过速症状多次前往急诊科就诊；32%的患者需要住院治疗，26%的患者需要药物治疗。孕期无孕产妇死亡、心力衰竭或急性冠状动脉综合征病例，也无血栓栓塞或出血并发症。剖宫产率与我们科室的基线率相似（分别为32%和27%）。引产率显著升高（58%对25%）。
结论
妊娠期不适当窦性心动过速与高住院率和引产率相关，鉴于该组女性的临床发现，这些可能并非必要。
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