在产后妇女中对心血管风险因素的长度管理
Rebecca Lumsden1, Courtney B Page2, Matthew Phelan3
1Department of Medicine (General Internal Medicine), Duke University School of Medicine, Durham, North Carolina, USA.
Journal of women's health (2002)
|March 27, 2024
概括
妊娠并发症如高血压疾病 (HDP) 和妊娠糖尿病 (GDM) 会增加长期心血管风险. 这些疾病的产后查仍然不足,缺失了早期CV预防的机会.
科学领域:
- 心脏病学 心脏病学
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 与怀孕有关的心血管 (CV) 疾病,包括妊娠高血压疾病 (HDP) 和妊娠糖尿病 (GDM),与长期心血管风险增加有关.
- 已经存在的心血管风险因素,如肥胖,在患有HDP的女性中更为普遍.
研究的目的:
- 确定HDP和GDM在一个大型学术卫生系统中的患病率.
- 描述患有这些疾病的妇女在产后一年内使用医疗保健和CV查情况.
主要方法:
- 在2012年至2015年期间,对6027次分娩进行了回顾性队列研究.
- 分析随访和查率 (血压,HbA1c,脂质) 根据提供者类型和条件.
主要成果:
- 20%的交货因HDP和/或GDM而复杂化.
- 虽然产后早期的随访率很高,但只有半数怀孕相关心血管疾病的妇女在12周后进行了检查.
- 产后查率较低:HDP血压为70%,GDM HbA1c为<33%,脂质为<20%.
结论:
- 在美国的学术卫生系统中存在着与怀孕相关的CV疾病的重大负担.
- 在纵向产后随访和心血管风险因子查方面的差距代表了初级心血管预防的错失机会.
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