孕前和心血管疾病:从怀孕到产后
Veronica Giorgione1,2, Matthew Cauldwell2, Basky Thilaganathan1,2
1Molecular and Clinical Sciences Research Institute, St. George's University of London London, UK.
European cardiology
|July 17, 2023
概括
患有妊娠高血压疾病 (HDP) 的女性面临长期心血管风险. 产后早期的血压管理和查可以预防未来的高血压和心脏病.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 妊娠高血压障碍 (HDP) 影响约10%的怀孕.
- HDP与直接和长期的心血管疾病 (CVD) 风险有关.
- 慢性高血压,肥胖,高胆固醇和糖尿病是HDP后心血管疾病的关键媒介.
研究的目的:
- 要突出与HDP相关的长期心血管风险.
- 强调产后心血管风险管理的重要性.
- 建议进行周边查,以早期识别高风险个体.
主要方法:
- 审查关于HDP和心血管结果的现有文献.
- 分析有助于长期心血管疾病的风险因素在妇女与HDP历史.
- 建议一个查策略,包括人口统计,临床和心声共振数据.
主要成果:
- 患有HDP的妇女在产后患有心血管风险因素和主要心血管疾病的风险要高得多.
- 在HDP之后,慢性高血压是长期心血管疾病的主要危险因素.
- 在产后早期,有针对性的初级心血管预防非常重要.
结论:
- 在产后早期优化血压对于预防长期高血压和改善心血管健康至关重要.
- 产前查可以识别患有HDP的妇女,她们有高患产后高血压的风险.
- 有针对性的干预措施可以减轻HDP的长期心血管后果.
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