辅助生殖技术:女性的心血管风险有哪些?
Carolyn Guan1, Carla Rodriguez2, Petal Elder-Odame3
1Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Expert review of cardiovascular therapy
|October 2, 2023
概括
接受辅助生殖技术 (ART) 的女性可能面临心血管疾病 (CVD) 的风险增加,原因是先前存在的因素和ART手术. 早期的心血管疾病风险查和管理对于更好的妊娠结果和长期健康至关重要.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 美国15%的生育年龄女性患有不孕症.
- 在全球范围内,辅助生殖技术 (ART) 的使用正在增加.
- 生殖因素越来越多地被认为是心血管疾病 (CVD) 的风险.
研究的目的:
- 审查ART与心血管疾病 (CVD) 风险之间的关联.
- 强调在接受ART的妇女中进行心血管疾病风险查的重要性.
- 强调早期治疗心脏代谢风险因素的必要性.
主要方法:
- 对ART和CVD研究的文献综述.
- 在使用ART的女性中分析已确定的心血管疾病风险因素.
- 检查不良妊娠结果及其与心血管疾病的联系.
主要成果:
- 使用ART的女性往往具有先前存在的心血管疾病风险因素 (肥胖,高血压,糖尿病).
- ART和怀孕可以增加心脏代谢需求.
- 不良的怀孕结果,如孕前,与周产期和长期心血管并发症有关.
结论:
- 长期的ART与心血管疾病之间的关联需要进一步调查.
- 在怀孕前和怀孕期间进行心血管疾病风险查至关重要.
- 在心脏代谢风险管理方面,ART提供了早期干预的机会.
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