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一名患有缺血性心肌病的高危孕妇的诊断与管理考量

Diagnostic and Management Considerations in a High-Risk Pregnant Patient With Ischemic Cardiomyopathy.

作者信息

Bigeh Allison, Mehta Laxmi, Lastinger Lauren

机构信息

Division of Cardiovascular Medicine, Department of Internal Medicine, Ohio State University, Columbus, Ohio, USA.

出版信息

JACC Case Rep. 2024 Feb 23;29(7):102268. doi: 10.1016/j.jaccas.2024.102268. eCollection 2024 Apr 3.

DOI:10.1016/j.jaccas.2024.102268
PMID:38645282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11031657/
Abstract

Ischemic heart disease is an important cause of heart failure in pregnancy. Involvement of a cardio-obstetrics team is crucial for managing high-risk pregnant patients with cardiovascular disease. We present a case of cardiogenic shock in a pregnant woman unmasking underlying multivessel obstructive coronary artery disease.

摘要

缺血性心脏病是妊娠期心力衰竭的重要原因。心脏科与产科团队协作对于管理患有心血管疾病的高危孕妇至关重要。我们报告一例孕妇发生心源性休克，揭示其潜在的多支血管阻塞性冠状动脉疾病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/cbc24d52feb5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/0d2dc4d9dcc2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/5a9d83b3e8ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/11b4998b8092/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/b6724884bac2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/cbc24d52feb5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/0d2dc4d9dcc2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/5a9d83b3e8ec/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/11b4998b8092/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/b6724884bac2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b368/11031657/cbc24d52feb5/gr4.jpg

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本文引用的文献

1
Acute Coronary Syndrome and Ischemic Heart Disease in Pregnancy: Data From the EURObservational Research Programme-European Society of Cardiology Registry of Pregnancy and Cardiac Disease.妊娠急性冠状动脉综合征和缺血性心脏病：来自 EURObservational Research Programme-European Society of Cardiology 妊娠和心脏疾病登记处的数据。
J Am Heart Assoc. 2020 Aug 4;9(15):e015490. doi: 10.1161/JAHA.119.015490. Epub 2020 Jul 29.
2
Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association.妊娠期心血管问题的处理：美国心脏协会科学声明
Circulation. 2020 Jun 9;141(23):e884-e903. doi: 10.1161/CIR.0000000000000772. Epub 2020 May 4.
3
2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.
2018年欧洲心脏病学会妊娠期心血管疾病管理指南。
Kardiol Pol. 2019;77(3):245-326. doi: 10.5603/KP.2019.0049.
4
Maternal and fetal outcomes in pregnant women with heart failure.心力衰竭孕妇的母婴结局。
Heart. 2018 Dec;104(23):1949-1954. doi: 10.1136/heartjnl-2018-313156. Epub 2018 May 25.
5
Cardiovascular physiology of pregnancy.妊娠的心血管生理学
Circulation. 2014 Sep 16;130(12):1003-8. doi: 10.1161/CIRCULATIONAHA.114.009029.