• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

妊娠期肺动脉高压:挑战与解决方案

Pulmonary Hypertension in Pregnancy: Challenges and Solutions.

作者信息

Afify Hesham, Kong Alexander, Bernal Jopher, Elgendy Islam Y

机构信息

Department of Internal Medicine, University of Central Florida HCA Healthcare GME, Greater Orlando, FL, USA.

Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA.

出版信息

Integr Blood Press Control. 2022 Apr 2;15:33-41. doi: 10.2147/IBPC.S242242. eCollection 2022.

DOI:10.2147/IBPC.S242242
PMID:35401013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8985908/
Abstract

Pulmonary hypertension (PH) is a heterogeneous disease characterized by an elevated mean pulmonary artery pressure of 20 mm Hg or above. PH is a prevalent condition among women of reproductive age and is linked with poor prognosis during pregnancy. Pregnancy is a stressful event and complicates the management and prognosis in patients with PH. In this review, we discuss the pathogenesis, clinical presentation as well as therapeutic options for PH during pregnancy. We also highlight knowledge gaps to guide future research.

摘要

肺动脉高压(PH)是一种异质性疾病,其特征为平均肺动脉压升高至20毫米汞柱及以上。PH在育龄女性中较为常见,且与孕期预后不良相关。怀孕是一个应激事件,会使PH患者的管理和预后变得复杂。在本综述中,我们讨论了孕期PH的发病机制、临床表现以及治疗选择。我们还强调了知识空白,以指导未来的研究。

相似文献

1
Pulmonary Hypertension in Pregnancy: Challenges and Solutions.妊娠期肺动脉高压:挑战与解决方案
Integr Blood Press Control. 2022 Apr 2;15:33-41. doi: 10.2147/IBPC.S242242. eCollection 2022.
2
Pulmonary Hypertension in Pregnancy: A Review.妊娠期肺动脉高压:综述
Medicina (Kaunas). 2021 Mar 11;57(3):259. doi: 10.3390/medicina57030259.
3
[Female gender and pulmonary arterial hypertension: a complex relationship].[女性性别与肺动脉高压:一种复杂的关系]
G Ital Cardiol (Rome). 2012 Jun;13(6):448-60. doi: 10.1714/1073.11764.
4
Pulmonary Hypertension Due to Left Heart Disease: Diagnosis, Pathophysiology, and Therapy.左心疾病所致肺动脉高压:诊断、病理生理学与治疗。
Hypertension. 2020 Jun;75(6):1397-1408. doi: 10.1161/HYPERTENSIONAHA.119.14330. Epub 2020 Apr 27.
5
Obstetric outcomes in pregnancy with pulmonary hypertension: A retrospective study of 78 cases at one center.妊娠合并肺动脉高压的产科结局:一项单中心78例病例的回顾性研究。
J Obstet Gynaecol Res. 2018 Jul;44(7):1211-1215. doi: 10.1111/jog.13668. Epub 2018 May 29.
6
Pulmonary hypertension in chronic lung diseases.慢性肺部疾病相关肺动脉高压。
J Am Coll Cardiol. 2013 Dec 24;62(25 Suppl):D109-16. doi: 10.1016/j.jacc.2013.10.036.
7
Mild Elevation of Pulmonary Arterial Pressure as a Predictor of Mortality.肺动脉压轻度升高可预测死亡率。
Am J Respir Crit Care Med. 2018 Feb 15;197(4):509-516. doi: 10.1164/rccm.201706-1215OC.
8
Why there is a need to discuss pulmonary hypertension other than pulmonary arterial hypertension?为什么除了肺动脉高压之外,还有必要讨论肺动脉高压?
World J Crit Care Med. 2015 Nov 4;4(4):274-7. doi: 10.5492/wjccm.v4.i4.274.
9
Hemodynamic Phenotyping of Pulmonary Hypertension in Left Heart Failure.左心衰竭中肺动脉高压的血流动力学表型分析
Circ Heart Fail. 2017 Sep;10(9). doi: 10.1161/CIRCHEARTFAILURE.117.004082.
10
Effect of Pulmonary Hypertension Hemodynamic Presentation on Clinical Outcomes in Patients With Severe Symptomatic Aortic Valve Stenosis Undergoing Transcatheter Aortic Valve Implantation: Insights From the New Proposed Pulmonary Hypertension Classification.肺动脉高压血流动力学表现对接受经导管主动脉瓣植入术的重度有症状主动脉瓣狭窄患者临床结局的影响:来自新提出的肺动脉高压分类的见解
Circ Cardiovasc Interv. 2015 Jul;8(7):e002358. doi: 10.1161/CIRCINTERVENTIONS.114.002358.

引用本文的文献

1
Clinical approach to respiratory failure in the obstetric patient: a comprehensive clinical review.产科患者呼吸衰竭的临床处理:全面临床综述
Proc (Bayl Univ Med Cent). 2025 Jun 4;38(5):695-702. doi: 10.1080/08998280.2025.2506960. eCollection 2025.
2
Outcomes and risk factors for cardiac surgery during pregnancy: a 13-year, two-centre, retrospective cohort study.孕期心脏手术的结局及危险因素:一项为期13年的双中心回顾性队列研究。
J Thorac Dis. 2024 Nov 30;16(11):7561-7573. doi: 10.21037/jtd-24-787. Epub 2024 Nov 11.
3
When pulmonary arterial hypertension and pregnancy meet: a multidisciplinary clinical experts review.

本文引用的文献

1
Novel Treatment Pathways in Pulmonary Arterial Hypertension.肺动脉高压的新治疗途径。
Methodist Debakey Cardiovasc J. 2021 Jul 1;17(2):106-114. doi: 10.14797/CBHS2234. eCollection 2021.
2
Favorable Pregnancy Outcomes in Women With Well-Controlled Pulmonary Arterial Hypertension.肺动脉高压控制良好的女性的良好妊娠结局
Front Med (Lausanne). 2021 Jul 5;8:689764. doi: 10.3389/fmed.2021.689764. eCollection 2021.
3
Pulmonary arterial hypertension in pregnancy-a systematic review of outcomes in the modern era.妊娠期肺动脉高压——现代时代结局的系统评价
当肺动脉高压遇上妊娠:多学科临床专家综述
Arch Gynecol Obstet. 2024 Dec;310(6):2839-2852. doi: 10.1007/s00404-024-07827-1. Epub 2024 Nov 21.
4
Maternal heart failure: state-of-the-art review.孕产妇心力衰竭:最新综述
Heart Fail Rev. 2025 Mar;30(2):337-351. doi: 10.1007/s10741-024-10466-y. Epub 2024 Nov 12.
5
Pulmonary Injury as a Complication of Urinary Tract Infection in Pregnancy.妊娠期尿路感染的并发症——肺损伤
Int J MCH AIDS. 2024 May 31;13:e012. doi: 10.25259/IJMA_15_2024. eCollection 2024.
6
Assessing the correlation between the degree of tricuspid regurgitation and pulmonary hypertension: A comprehensive study.评估三尖瓣反流程度与肺动脉高压的相关性:一项综合研究。
Saudi Med J. 2024 Jun;45(6):572-577. doi: 10.15537/smj.2024.45.6.20240071.
7
Management of pulmonary arterial hypertension:before, during and after pregnancy.肺动脉高压的管理:孕期前、孕期中和产后
Int J Cardiol Cardiovasc Risk Prev. 2024 Mar 17;21:200252. doi: 10.1016/j.ijcrp.2024.200252. eCollection 2024 Jun.
8
Perioperative Management of Parturient Women With Severe Pulmonary Arterial Hypertension Secondary to Atrial Septal Defect.继发于房间隔缺损的重度肺动脉高压产妇的围手术期管理
Cureus. 2023 Nov 6;15(11):e48369. doi: 10.7759/cureus.48369. eCollection 2023 Nov.
9
2022 Chinese guideline for the management of pregnancy and reproduction in systemic lupus erythematosus.《2022年中国系统性红斑狼疮妊娠与生殖管理指南》
Rheumatol Immunol Res. 2023 Sep 27;4(3):115-138. doi: 10.2478/rir-2023-0019. eCollection 2023 Sep.
Pulm Circ. 2021 May 14;11(2):20458940211013671. doi: 10.1177/20458940211013671. eCollection 2021 Apr-Jun.
4
Pulmonary Arterial Hypertension in Pregnancy.妊娠合并肺动脉高压
Cardiol Clin. 2021 Feb;39(1):109-118. doi: 10.1016/j.ccl.2020.09.007. Epub 2020 Oct 29.
5
Anesthesia for Pregnant Women with Pulmonary Hypertension.妊娠合并肺动脉高压的麻醉
J Cardiothorac Vasc Anesth. 2021 Jul;35(7):2201-2211. doi: 10.1053/j.jvca.2020.06.062. Epub 2020 Jun 24.
6
Pregnancy outcomes in patients with pulmonary arterial hypertension: A retrospective study.肺动脉高压患者的妊娠结局:一项回顾性研究。
Medicine (Baltimore). 2020 Jun 5;99(23):e20285. doi: 10.1097/MD.0000000000020285.
7
Challenges and Special Aspects of Pulmonary Hypertension in Middle- to Low-Income Regions: JACC State-of-the-Art Review.中低收入地区肺动脉高压的挑战和特殊问题:美国心脏病学会的现状评估。
J Am Coll Cardiol. 2020 May 19;75(19):2463-2477. doi: 10.1016/j.jacc.2020.03.047.
8
Systemic Consequences of Pulmonary Hypertension and Right-Sided Heart Failure.肺动脉高压与右心衰竭的全身影响。
Circulation. 2020 Feb 25;141(8):678-693. doi: 10.1161/CIRCULATIONAHA.116.022362. Epub 2020 Feb 24.
9
Rapid Titration of Intravenous Treprostinil to Treat Severe Pulmonary Arterial Hypertension Postpartum: A Retrospective Observational Case Series Study.静脉注射曲前列尼尔快速滴定治疗产后重度肺动脉高压:一项回顾性观察性病例系列研究。
Anesth Analg. 2019 Dec;129(6):1607-1612. doi: 10.1213/ANE.0000000000003827.
10
Association of Mild Echocardiographic Pulmonary Hypertension With Mortality and Right Ventricular Function.轻度超声心动图肺动脉高压与死亡率和右心室功能的关系。
JAMA Cardiol. 2019 Nov 1;4(11):1112-1121. doi: 10.1001/jamacardio.2019.3345.