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妊娠期心律失常概述。

An Overview of Arrhythmias in Pregnancy.

机构信息

Texas Cardiac Arrhythmia Institute, Dallas, Texas, US.

Temple University Hospital, Philadelphia, Pennsylvania, US.

出版信息

Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):36-50. doi: 10.14797/mdcvj.1325. eCollection 2024.

Abstract

Cardiovascular disease significantly jeopardizes pregnancies in the United States, impacting 1% to 4% of pregnancies annually. Among complications, cardiac arrhythmias are prevalent, posing concerns for maternal and fetal health. The incidence of arrhythmias during pregnancy is rising, partly due to advances in congenital heart surgery and a growing population of women with structural heart disease. While most arrhythmias are benign, the increasing prevalence of more serious arrhythmias warrants a proactive approach. Guidance and reassurance suffice in many cases, but persistent symptoms require cautious use of antiarrhythmic drugs or other therapies for a safe outcome. Managing more serious arrhythmias requires a comprehensive, multidisciplinary approach involving specialists, including maternal-fetal medicine physicians, cardiologists, electrophysiologists, and anesthesiologists.

摘要

心血管疾病严重危及美国的妊娠,每年影响 1%至 4%的妊娠。在并发症中,心律失常很常见,对母婴健康构成担忧。怀孕期间心律失常的发生率正在上升,部分原因是先天性心脏病手术的进步和结构性心脏病患者人数的增加。虽然大多数心律失常是良性的,但更严重心律失常的发病率上升需要采取积极的方法。在许多情况下,提供指导和保证就足够了,但持续存在的症状需要谨慎使用抗心律失常药物或其他疗法以确保安全。管理更严重的心律失常需要综合的多学科方法,包括专家,包括母胎医学医师、心脏病专家、电生理学家和麻醉师。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82eb/10941715/6f22c36cd703/mdcvj-20-2-1325-g1.jpg

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