Zahedi Mahdi, Jahanshahi Moghadaseh, Tafaghod-Hassanpour Ahmad
Ischemic Disorders Research Center Golestan University of Medical Sciences Gorgan Iran.
Cardiovascular Imaging Department Rajayi Heart Center Tehran Iran.
Health Sci Rep. 2025 Jul 21;8(7):e71111. doi: 10.1002/hsr2.71111. eCollection 2025 Jul.
Cardiovascular diseases (CVDs) cause most maternal deaths, mainly from cardiomyopathies, pulmonary hypertension, aortic dissections, and MIs. We examined CVD prevalence in pregnancy, its links to risk factors/demographics, and identified high-risk cases for prevention programs.
This descriptive study was conducted on 104 pregnant patients with heart conditions referred to Shahid Sayyad Shirazi Educational and Medical Center. The data and information for this project were obtained by reviewing the medical records of pregnant patients with heart conditions and recording this information in the Hospital Information System (HIS) and then subjected to data analysis.
A total of 104 patients were enrolled. The study revealed that RVH, TTF, and PI diseases had a statistically significant association with a family history of heart disease in pregnant individuals, or with pulmonary HTN, there was a meaningful connection to hypertension. Furthermore, valvular disease MVP and LV enlargement showed a significant association with hyperlipidemia. However, a history of smoking did not have a meaningful association with any of the examined diseases. Additionally, increasing age had a statistically significant correlation with most of the investigated diseases.
The results obtained from this study indicate that heart diseases in pregnant mothers are an extremely important and undeniable issue, underscoring the significance of thorough examination and care for patients before, during, and after pregnancy. Additionally, it highlights the assessment and early identification of risk factors in these individuals. Therefore, one of the most crucial steps in preserving the health of these patients, in addition to identifying and mitigating risk factors using the mentioned diagnostic methods, is to provide necessary awareness regarding reproductive health and appropriate pregnancy prevention methods.
心血管疾病（CVDs）导致了大多数孕产妇死亡，主要原因是心肌病、肺动脉高压、主动脉夹层和心肌梗死。我们研究了孕期心血管疾病的患病率、其与风险因素/人口统计学特征的关联，并确定了预防项目的高危病例。
本描述性研究针对104名转诊至沙希德·赛义德·希拉齐教育与医疗中心的患有心脏病的孕妇患者开展。该项目的数据和信息通过查阅患有心脏病的孕妇患者的病历并将这些信息记录在医院信息系统（HIS）中获得，然后进行数据分析。
共纳入104名患者。研究表明，右心室肥厚（RVH）、短暂性心肌缺血（TTF）和产后心肌病（PI）疾病与孕妇的心脏病家族史或肺动脉高压（HTN）存在统计学上的显著关联，与高血压存在有意义的联系。此外，瓣膜病二尖瓣脱垂（MVP）和左心室扩大与高脂血症存在显著关联。然而，吸烟史与任何一种所检查的疾病均无有意义的关联。此外，年龄增长与大多数所调查的疾病存在统计学上的显著相关性。
本研究获得的结果表明，怀孕母亲的心脏病是一个极其重要且不可忽视的问题，强调了在怀孕前、期间和之后对患者进行全面检查和护理的重要性。此外，它突出了对这些个体风险因素的评估和早期识别。因此，除了使用上述诊断方法识别和减轻风险因素外，保障这些患者健康的最关键步骤之一是提供有关生殖健康和适当避孕方法的必要认识。
