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利用产后时期减少产后高血压护理中的种族差异。

Leveraging the postpartum period to reduce racial disparities in postpartum hypertension care.

作者信息

Countouris Malamo E, Magnani Jared W

机构信息

Division of Cardiology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

出版信息

Am Heart J Plus. 2024 Dec 7;49:100490. doi: 10.1016/j.ahjo.2024.100490. eCollection 2025 Jan.

DOI:10.1016/j.ahjo.2024.100490
PMID:39760106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11698970/
Abstract

Pregnancy provides a window of opportunity for management of hypertension care. Particularly in the postpartum period - the so-called "4th trimester" - individuals of Black race are at increased risk for hypertension-related morbidity and mortality. Telehealth interventions, such as remote blood pressure monitoring programs and virtual postpartum visits, can reduce racial disparities in the delivery of recommended care. System and policy changes can address social factors that impact postpartum care as well. Cardiovascular clinicians have a key role to play in managing hypertension and addressing cardiovascular disease prevention strategies during reproductive years.

摘要

怀孕为高血压护理管理提供了一个机会窗口。特别是在产后时期——即所谓的“第四孕期”——黑人个体患高血压相关发病和死亡的风险增加。远程医疗干预措施,如远程血压监测项目和虚拟产后访视,可以减少推荐护理提供过程中的种族差异。系统和政策变革也可以解决影响产后护理的社会因素。心血管临床医生在管理高血压以及在生殖年龄段实施心血管疾病预防策略方面发挥着关键作用。

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本文引用的文献

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Public health and system approach in eliminating disparities in hypertensive disorders and cardiovascular outcomes in non-Hispanic Black women across the pregnancy life course.在整个孕期消除非西班牙裔黑人女性高血压疾病和心血管疾病结局差异的公共卫生与系统方法。
Am Heart J Plus. 2024 Aug 28;46:100445. doi: 10.1016/j.ahjo.2024.100445. eCollection 2024 Oct.
2
Racial and Socioeconomic Disparities in Cardiovascular Outcomes of Preeclampsia Hospitalizations in the United States 2004-2019.2004 - 2019年美国子痫前期住院心血管结局的种族和社会经济差异
JACC Adv. 2022 Aug 26;1(3):100062. doi: 10.1016/j.jacadv.2022.100062. eCollection 2022 Aug.
3
Opportunities in the Postpartum Period to Reduce Cardiovascular Disease Risk After Adverse Pregnancy Outcomes: A Scientific Statement From the American Heart Association.产后时期降低不良妊娠结局后心血管疾病风险的机会:美国心脏协会的科学声明。
Circulation. 2024 Feb 13;149(7):e330-e346. doi: 10.1161/CIR.0000000000001212. Epub 2024 Feb 12.
4
Hypertensive Disorders in Pregnancy and Mortality at Delivery Hospitalization - United States, 2017-2019.妊娠高血压疾病与分娩住院期间的死亡率 - 美国,2017-2019 年。
MMWR Morb Mortal Wkly Rep. 2022 Apr 29;71(17):585-591. doi: 10.15585/mmwr.mm7117a1.
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Elimination of racial disparities in postpartum hypertension follow-up after incorporation of telehealth into a quality bundle.将远程医疗纳入质量包后消除产后高血压随访中的种族差异。
Am J Obstet Gynecol MFM. 2022 May;4(3):100580. doi: 10.1016/j.ajogmf.2022.100580. Epub 2022 Feb 1.