Thordsen Sarah, Briller Joan, Cruz Meredith O
Division of Cardiovascular Medicine, University of Wisconsin Madison, Madison, WI 53792, USA.
Division of Cardiology, Department of Medicine, Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL 60612, USA.
Obstet Gynecol Clin North Am. 2025 Sep;52(3):445-456. doi: 10.1016/j.ogc.2025.06.001. Epub 2025 Jul 12.
Cardiovascular diseases complicating pregnancies are major causes of peripartum morbidity and mortality. The field of Cardio-Obstetrics has evolved to treat women with acquired and metabolic-related cardiovascular diseases in addition to congenital heart disease. Peripartum cardiomyopathy (PPCM) is a heart failure etiology specific to pregnant and post-partum women. Pregnancy-associated spontaneous coronary dissection (p-SCAD) is the most common cause of acute myocardial infarction in the pregnant and post-partum population, highlighting the importance of evaluating chest discomfort. Adequate therapy for both PPCM and p-SCAD requires expertise from multiple medical subspecialities, which underscores the necessity of the Cardio-Obstetric team approach.
妊娠合并心血管疾病是围产期发病和死亡的主要原因。除先天性心脏病外，心血管产科领域已发展到治疗患有获得性和代谢相关心血管疾病的女性。围产期心肌病（PPCM）是一种特定于怀孕和产后女性的心力衰竭病因。妊娠相关自发性冠状动脉夹层（p-SCAD）是怀孕和产后人群急性心肌梗死的最常见原因，凸显了评估胸部不适的重要性。对PPCM和p-SCAD进行充分治疗需要多个医学亚专业的专业知识，这强调了心血管产科团队协作方法的必要性。
