Department of Medicine, Division of Cardiovascular Medicine and Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
J Am Coll Cardiol. 2023 Oct 31;82(18):1792-1803. doi: 10.1016/j.jacc.2023.08.049.
The United States has the highest maternal mortality in the developed world with cardiovascular disease as the leading cause of pregnancy-related deaths. In response to this, the emerging subspecialty of cardio-obstetrics has been growing over the past decade. Cardiologists with training and expertise in caring for patients with cardiovascular disease in pregnancy are essential to provide effective, comprehensive, multidisciplinary, and high-quality care for this vulnerable population. This document provides a blueprint on incorporation of cardio-obstetrics training into cardiovascular disease fellowship programs to improve knowledge, skill, and expertise among cardiologists caring for these patients, with the goal of improving maternal and fetal outcomes.
美国是发达国家中孕产妇死亡率最高的国家，心血管疾病是导致妊娠相关死亡的主要原因。针对这一情况，过去十年来，新兴的妇产科心脏病学亚专科不断发展。具有心血管疾病妊娠管理培训和专业知识的心脏病专家对于为这一脆弱人群提供有效、全面、多学科和高质量的护理至关重要。本文件提供了将妇产科心脏病学培训纳入心血管疾病研究员培训计划的蓝图，以提高照顾这些患者的心脏病专家的知识、技能和专业水平，目标是改善母婴结局。
