怀孕期间感染性内心炎的当代管理
Ailís Pollock1, Thomas J Kiernan1
1Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
Expert review of cardiovascular therapy
|November 2, 2023
概括
怀孕期间感染性内心炎是一种罕见但严重的疾病. 管理需要一个多学科的方法,利用国际注册和多式联络成像,以获得最佳的孕产妇和胎儿的结果.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 传染性疾病 传染性疾病
背景情况:
- 怀孕期间感染性内心炎 (IE) 具有显著的发病率和死亡率风险.
- 怀孕期间IE的流行病学,诊断,治疗和预后由于诸如心脏病患病率的变化,先进的心脏干预,耐药微生物和母亲年龄的增加等因素而发展.
研究的目的:
- 审查和综合有关怀孕期间传染性内心炎的当前文献.
- 要突出不断变化的趋势,风险因素,预防,临床表现,诊断策略,管理和妊娠期间IE的并发症.
主要方法:
- 综合审查现有文献,包括病例报告,病例系列,注册表数据和临床指南.
- 分析影响妊娠中IE变化的因素.
主要成果:
- 缺乏可靠的前性数据,需要依赖现有的文献和注册表.
- 多模式成像和多学科方法对于管理妊娠中复杂的IE病例至关重要.
结论:
- 国际注册表对于建立最佳实践和为未来怀孕期间IE指南提供信息至关重要.
- 在怀孕期间感染性内心炎的病例中,合作,多学科的战略对于改善母亲和胎儿的结果至关重要.
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