Division of Obstetrics and Gynaecology, Ivrea Hospital, ASLTO4, Ivrea, Italy.
Division of Cardiology, Ospedale San Giovanni Bosco, ASL Città di Torino, Turin, Italy.
Int J Cardiol. 2024 May 15;403:131850. doi: 10.1016/j.ijcard.2024.131850. Epub 2024 Feb 12.
Maternal cardiovascular adaptation during pregnancy is essential for fetal development. Structural and functional changes, including increased blood volume, heart rate, and myocardial hypertrophy, are crucial for optimal tissue perfusion. Recent evidence supports viewing maternal and fetal cardiovascular systems as a unified functional unit, emphasizing the significance of hemodynamic evaluation in pregnancy. Some obstetrical syndromes result from maladaptive maternal cardiovascular responses. Non-invasive hemodynamic tests, like transthoracic echocardiography, aid in distinguishing phenotypes, guiding tailored management strategies for hypertensive disorders. Establishing obstetric hemodynamics as a multidisciplinary field, termed "Obstetric Echodynamics," promises improved clinical care through standardized practices, interdisciplinary cooperation, and enhanced education.
孕妇心血管系统在妊娠期间的适应性变化对于胎儿的发育至关重要。结构和功能的变化,包括血容量、心率和心肌肥厚的增加,对于优化组织灌注至关重要。最近的证据支持将母体和胎儿的心血管系统视为一个统一的功能单元,强调了在妊娠期间进行血流动力学评估的重要性。一些产科综合征是由于母体心血管适应性反应不良引起的。一些非侵入性的血流动力学测试,如经胸超声心动图,有助于区分表型,为高血压疾病提供个体化的管理策略。将产科血流动力学确立为一个多学科领域,称为“产科超声心动动力学”,有望通过标准化实践、跨学科合作和强化教育来改善临床护理。