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心脏性休克和使用机械循环支持在怀孕期间

Anna C O'Kelly¹, Amy Sarma¹, Emily Naoum²

¹Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Journal of intensive care medicine

|January 11, 2024

概括

孕产妇心血管疾病是一个日益关注的问题,导致死亡率增加. 当前的风险工具往往忽略了已有的疾病,这使得识别高风险怀孕变得困难.

科学领域:

心血管医学心血管医学
孕产妇健康孕产妇健康
公共卫生公共卫生

背景情况:

与其他高收入国家不同,美国的孕产妇死亡率正在上升.
心血管疾病和高血压疾病是全球孕产妇死亡的主要原因.
获得的心血管疾病,风险因素和医疗保健不平等因素对孕产妇的发病率和死亡率有很大影响.

研究的目的:

突出识别有心血管并发症风险的孕妇患者所面临的挑战.
为了强调现有的孕妇风险分层工具的局限性.
强调需要改进的方法来识别怀孕期间高风险的心血管基质.

主要方法:

关于母亲心血管疾病和死亡率的当前文献的综述.
对现有的风险分层工具 (mWHO,CARPREG II,ZAHARA) 的分析.
识别怀孕期间获得心血管疾病风险评估中的差距.

主要成果:

心血管疾病和高血压疾病占孕产妇死亡的很大一部分.
现有的风险评分主要关注先前存在的心脏病,而不是获得的.
识别患有妊娠并发症风险的患者,特别是患有心血管疾病的患者,仍然是一个重大挑战.

结论:

对于孕妇,特别是那些患有心血管疾病的孕妇,有必要加强风险分层策略.
改进对高风险心血管基质的鉴定对于预防诸如心脏性休克等不良妊娠结果至关重要.
解决心血管风险因素和医疗保健不平等问题对于减少孕产妇死亡率至关重要.

关键词:

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