评估和预测心血管对严重孕产妇发病率的贡献
Aarti Thakkar1, Afshan B Hameed2, Minhal Makshood1
1Division of Cardiology, Department of Medicine, Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
JACC. Advances
|August 10, 2023
概括
与心血管问题相关的严重孕产妇发病率 (SMM) 正在增加. 早期风险识别和改善的护理系统对于孕妇更好的结果至关重要.
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:
- 严重的孕产妇发病率 (SMM) 包含意想不到的怀孕/分娩结果,具有短期和长期的健康后果.
- 诸如心脏骤停和心肌梗塞等心血管疾病是SMM的原因.
- 增加的母亲年龄和先前存在的心脏病导致了这一趋势.
研究的目的:
- 审查SMM的流行病学和心脏原因.
- 为怀孕期间心血管风险预测工具提供一个框架.
- 强调有组织护理的必要性,以改善结果.
主要方法:
- 关于SMM和怀孕期间心血管疾病的当前文献的综述.
- 分析风险分层工具和卫生系统数据.
- 讨论改善护理的多方方法.
主要成果:
- 心血管对SMM的贡献正在增加,受人口变化和先前存在的条件的影响.
- 风险预测工具和卫生系统监测有助于风险分层和护理标准化.
- 必须采取协调的方法,包括患者的风险因素,病例审查和系统改进.
结论:
- 解决与心血管疾病相关的SMM需要一个全面的战略.
- 患者层面的风险识别,病例审查和验证的风险工具至关重要.
- 需要在全系统范围内改善母亲心血管保健的质量.
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