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Optimizar la salud cardiovascular antes del embarazo para mejorar los resultados en las personas embarazadas y
Circulation
|February 13, 2023
Resumen
La optimización de la salud cardiovascular antes del embarazo es crucial para prevenir los resultados adversos del embarazo y las futuras enfermedades cardiovasculares tanto en las personas que dan a luz como en la descendencia. El enfoque temprano y continuo en la salud cardiovascular a lo largo de la vida es esencial.
Área de la Ciencia:
- Salud cardiovascular
- Salud Reproductiva
- Salud pública
Sus antecedentes:
- La salud cardiovascular desfavorable es común en individuos en edad reproductiva, con importantes disparidades raciales, étnicas, socioeconómicas y geográficas.
- Los resultados adversos del embarazo y el riesgo de enfermedad cardiovascular a largo plazo se originan antes de la concepción, lo que limita el impacto de las intervenciones solo durante el embarazo.
Objetivo del estudio:
- Resumir la evidencia sobre el papel de la salud cardiovascular antes del embarazo en los resultados adversos del embarazo y las enfermedades cardiovasculares.
- Abogar por un curso de vida y un enfoque intergeneracional para optimizar la salud cardiovascular antes y entre los embarazos.
Principales métodos:
- Revisión de las pruebas preclínicas, epidemiológicas y de ensayos clínicos.
- Aplicación de un marco de vida y intergeneracional para medir, modificar y monitorear la salud cardiovascular antes del embarazo.
Principales resultados:
- La salud cardiovascular antes del embarazo tiene un impacto significativo en los resultados del embarazo y la salud cardiovascular a largo plazo para las personas que dan a luz y la descendencia.
- Las intervenciones actuales centradas únicamente en el embarazo pueden ser insuficientes debido a la aparición temprana de procesos biológicos.
Conclusiones:
- Optimizar la salud cardiovascular durante el período previos al embarazo es crítico.
- Las intervenciones deben ser multinivel, incluidos los cambios individuales, comunitarios y políticos, para abordar los determinantes sociales y el racismo estructural.
- Las intervenciones en la primera infancia y un mejor acceso a la atención sanitaria son vitales para mejorar la salud cardiovascular a través de las generaciones.
Palabras clave:
Declaraciones científicas de la AHAEnfermedades cardiovascularesembarazocomplicaciones del embarazola prevención primariaFactores de riesgoMás Videos Relacionados
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