孕前和节律失常的长期风险
Eva Havers-Borgersen1, Anna Stahl1, Marianne Johansen2
1Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 København Ø, Denmark.
European journal of preventive cardiology
|May 17, 2024
概括
在第一次怀孕期间经历了子宫前 (PE) 的女性,长期患心律失常的风险更高. 这凸显了对这些人进行心血管监测和预防护理的需要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,先兆子 (PE) 影响了4-5%的怀孕.
- 高血压是已知的心律失常的危险因素,但与PE的联系尚未得到充分证实.
研究的目的:
- 调查妊娠前与初生妇女心律失常发病率之间的长期关联.
主要方法:
- 使用丹麦全国范围的注册表 (1997-2016) 进行的观察性队列研究.
- 包括523,271名初发性女性,根据PE诊断进行分层.
- 对发生性心律失常的参与者进行了中位数10.1年的跟踪.
主要成果:
- 4.5%的女性被诊断出患有PE.
- 患有PE的女性出现心律不整的发病率较高 (1.42%对1.02%).
- 观察到心脏骤停,心室动脉冲动/心肌,心室上动脉节律失常和整体心律失常的风险显著增加.
结论:
- 孕前妇女面临着显著增加的长期心律失常的风险.
- 建议心血管风险评估,查和预防性教育对有 PE 史的女性有益.
更多相关视频
相关概念视频
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
213
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
213
Mechanism of Cardiac Arrhythmias
917
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
917
Disturbances in Heart Rhythm
945
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
945
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
740
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
740
Increased pulse rate
657
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
657
Electrocardiogram
2.3K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.3K


