Obstetric Department, Hospital San Cecilio, Granada 1, 18016 Granada, Spain.
Obstetric Departament, Hospital Universitario Puerta de Hierro 2, 28222 Majadahonda, Spain.
Viruses. 2023 Jul 17;15(7):1564. doi: 10.3390/v15071564.
Pregnant women with SARS-CoV-2 infection have a significantly higher risk of maternal death, ICU admission, preterm delivery, and stillbirth compared to those without infection. Additionally, the risk of preeclampsia (PE) increases in pregnant women infected with SARS-CoV-2, particularly in severe cases. The association between COVID-19 and PE is likely attributed to various mechanisms, including direct effects of the virus on trophoblast function and the arterial wall, exaggerated inflammatory response in pregnant women, local inflammation leading to placental ischemia, SARS-CoV-2-related myocardial injury, cytokine storm, and thrombotic microangiopathy. This paper aims to explore the similarities between PE and SARS-CoV-2 infection, considering COVID-19 as a valuable study model. By examining these parallels, we can enhance our knowledge and comprehension of PE. We wish to emphasize the potential for COVID-19-induced myocardial injury in pregnant women and its connection to the increased maternal mortality rate.
与未感染的孕妇相比,感染 SARS-CoV-2 的孕妇有更高的母体死亡、入住 ICU、早产和死产风险。此外,感染 SARS-CoV-2 的孕妇发生子痫前期(PE)的风险增加,尤其是在重症病例中。COVID-19 与 PE 之间的关联可能归因于多种机制,包括病毒对滋养层功能和动脉壁的直接影响、孕妇炎症反应的过度加剧、导致胎盘缺血的局部炎症、与 SARS-CoV-2 相关的心肌损伤、细胞因子风暴和血栓性微血管病。本文旨在探讨 PE 和 SARS-CoV-2 感染之间的相似之处,将 COVID-19 视为一个有价值的研究模型。通过研究这些相似之处,我们可以增强对 PE 的认识和理解。我们希望强调 COVID-19 引起的孕妇心肌损伤及其与孕产妇死亡率增加之间的关系。