[怀孕期间高血压疾病 (THE) 对女性心血管健康的影响]
W G Espeche1, P Carrera Ramos2, J Minetto1
1Unidad de Enfermedades Cardiometabólicas, Hospital San Martín de La Plata, La Plata, Buenos Aires, Argentina; Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina.
Hipertension y riesgo vascular
|May 14, 2024
概括
在怀孕期间患有妊娠高血压 (GH) 的女性面临患产后新发高血压的风险更高. 这凸显了加强监测的必要性,以防止未来的心血管事件.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 妊娠高血压障碍 (HDP) 增加了母胎并发症的风险,是孕产妇死亡的主要原因.
- 患有HDP的女性在未来被证实患有心血管疾病 (CVD) 的风险更高.
- 在高风险妊娠中产后高血压发生率需要进一步调查.
研究的目的:
- 确定高风险孕妇中产后期新发高血压的发生率.
- 评估妊娠高血压 (GH) 状态和产后高血压之间的关联.
- 确定需要加强HDP妇女分娩后监测的需要.
主要方法:
- 涉及高风险孕妇的队列研究.
- 门诊血压监测 (ABPM) 在妊娠20-30周之间进行.
- 被归类为正常血压 (NT) 或妊娠高血压 (GH) 的患者,不包括慢性高血压.
- 直到怀孕结束后的随访和3个月的产后评估.
主要成果:
- 总共有177名孕妇进行了分析.
- 患有HDP的患者患有更高的妊娠前,低出生体重和早产率.
- 在GH患者中,新发性高血压报告在33.3%的患者中,而在NT患者中为17.2% (P=.014).
- 在GH患者中发展新发高血压的几率比为2.3 (95% CI:1.20-4.77).
结论:
- 在20-30周之间接受ABPM监测的孕期高血压患者面临着明显更高的产后高血压风险.
- 这一发现强调了对这些人进行警的分娩后监测和管理的重要性.
- 早期检测和控制对于减轻未来心血管并发症至关重要.
相关概念视频
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Disorders of the Autonomic Nervous System
626
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
626
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.8K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.8K
Hormonal Regulation
33.1K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
33.1K
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K


