在孕妇心血管疾病复杂的怀孕中发现的胎盘发现
Fred M Wu1,2,3, Bradley J Quade3,4, Chrystalle Katte Carreon3,5
1Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
JACC. Advances
|June 28, 2024
概括
怀孕期间的心血管疾病 (CVD) 通常导致胎盘异常,包括解剖和血管问题. 不知病因的炎 (VUE) 患病率因心血管疾病类型而异,但其他病理并没有显著差异.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 病理学 病理学 病理学
背景情况:
- 患有心血管疾病 (CVD) 的女性怀孕发生率增加.
- 对孕妇心血管疾病复杂的怀孕中胎盘病理的理解有限.
研究的目的:
- 在孕妇受到母体心血管疾病影响的怀孕中描述胎盘病理.
- 为了比较不同类别的母体心血管疾病的胎盘发现.
主要方法:
- 回顾性,单中心研究264胎盘从怀孕与孕产妇心血管疾病.
- 对病理学报告进行预先规定的发现的审查.
- 胎盘病理与母亲特征的比较.
主要成果:
- 75%的胎盘表现出病理;45%的胎盘有解剖病理 (例如,小胎盘),41%的胎盘有血管病理 (母体或胎儿输血).
- 观察到急性膜炎 (23%) 和未知病因 (VUE) 的炎 (11%).
- 在心血管疾病类别 (P=0.008) 中,VUE的患病率有显著差异,在先天性心脏病中最常见.
结论:
- 患有心血管疾病的怀孕经常显示出异常的胎盘发现,特别是解剖和血管病理.
- 不知病因的炎 (VUE) 患病率因心血管疾病类型而异.
- 在心血管疾病类别中,在其他特定的胎盘病理中没有发现显著差异.
相关概念视频
Cardiovascular System Abnormal Findings I: Inspection and Palpation
371
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
371
Fetal Circulation
915
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
915
Cardiovascular System Abnormal Findings II: Auscultation
126
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
126
Imaging Studies for Cardiovascular System III: X-Ray
171
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
171
Assessment of the Cardiovascular System II: Inspection
224
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
224
Assessment of the Cardiovascular System III: Palpation
304
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
304


