在孕妇患有呼吸障碍和心的患者中进行心脏评估
Marie McGourty1, Ekaterina Skaritanov1, Lara Kovell2
1University of Massachusetts Chan School of Medicine, Worcester, MA (BS McGourty and BS Skaritanov).
American journal of obstetrics & gynecology MFM
|March 29, 2024
概括
怀孕期间的心脏症状往往会被忽视. 心声图可以检测三分之一到四分之一的孕妇患有心或呼吸障碍的潜在结构性心脏病,影响管理.
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
- 心脏成像 - - 心脏成像
背景情况:
- 怀孕期间的心脏病症状可以模仿正常的生理变化.
- 心声学对于在怀孕期间出现心或呼吸障碍的孕妇中识别心脏结构异常至关重要.
研究的目的:
- 通过跨胸腔回声心脏图在患有心或呼吸障碍的近产期个体中确定识别结构变化的频率.
主要方法:
- 在2017年10月至2022年5月期间,对经产期患者进行过胸前心声图 (TTEs) 的回顾性队列研究.
- 分析TTE征兆,患者人口统计,临床特征和报告的异常发现.
- 异常的分类为先天性心脏病,膜疾病,心周溢血,缺血症,静脉/透气功能障碍等.
主要成果:
- 在539个TTE中,17.8%为心,5.9%为呼吸障碍.
- 在心组中有21.9%,在呼吸障碍组中有34.4%的患者出现异常发现.
- 常见的异常包括膜疾病,先天性心脏病,心周溢血,缺血症和静脉/透气功能障碍.
结论:
- 虽然许多TTE没有显示任何结构异常,但25-33%的患有心或呼吸障碍的孕妇有潜在的结构性心脏病.
- 一些确定的异常 (例如,轻度膜疾病) 可能不会影响分娩计划.
- 其他发现,如缺血,先天性问题或功能缺陷,对怀孕和产后护理有重大影响.
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