在怀孕期间对雄心动脉病的产科考虑
Anna R Whelan1, Myles E Ringel2, Sherene Shalhub3
1Department of Maternal-Fetal Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Annals of cardiothoracic surgery
|December 13, 2023
概括
怀孕相关的大动脉解剖 (AD) 是罕见但严重的,通常发生在怀孕晚期或产后. 管理涉及一个多学科的团队和仔细的监测,以确保母亲和胎儿的安全.
科学领域:
- 心血管医学 心血管医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 遗传学 遗传学是一种遗传学.
背景情况:
- 怀孕期间的大动脉解剖 (AD) 对母亲和胎儿构成严重风险.
- 它是孕产妇心血管死亡的主要原因.
- 在患有遗传性大关节病的人群中,风险较高.
研究的目的:
- 概述与怀孕相关的大动脉剖析的管理策略.
- 强调多学科方法的重要性.
- 为患者咨询提供有关怀孕风险的信息.
主要方法:
- 对孕前期,产前期,分娩期和产后期的管理策略的审查.
- 利用成像模式,如心声图和MRI用于监视.
- 选择性地使用CT扫描来最大限度地减少胎儿的辐射暴露.
主要成果:
- 与怀孕相关的AD最常见的是发生在第三季度或分娩后.
- 遗传性动脉损伤在怀孕期间显著增加了AD风险.
- 多学科团队和适当的成像对管理至关重要.
结论:
- 综合管理策略对于优化怀孕相关AD的护理至关重要.
- 通过患者咨询进行知情决策至关重要.
- 一个协调的心脏和产科团队的方法确保了患者的安全.
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