关于孕前和妊娠高血压疾病的最新情况
Emily A Rosenberg1, Ellen W Seely2
1Division of Endocrinology, Diabetes, and Metabolic Diseases, Medical University of South Carolina, 96 Jonathan Lucas Street, CSB 822, Charleston, SC 29425, USA.
最近在管理妊娠高血压疾病方面取得的进展包括低剂量阿司匹林以预防先兆子和改善慢性高血压的抗高血压药物启动. 早期预测和风险咨询是改善母亲和婴儿结果的关键.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 怀孕中的心脏病学
背景情况:
- 妊娠高血压障碍影响美国16%的怀孕.
- 这些情况对母亲和胎儿的健康构成重大风险.
- 进展正在改善预防,诊断和管理策略.
研究的目的:
- 总结一下最近在妊娠高血压疾病方面的进展.
- 突出对高风险怀孕的关键干预措施.
- 为临床实践提供有关怀孕期间高血压管理的信息.
主要方法:
- 审查最近的临床指南和FDA批准.
- 对阿司匹林预防和抗高血压值研究的分析.
- 检查长期心血管风险后预孕.
主要成果:
- 怀孕16周开始服用低剂量阿司匹林,可降低高风险个体的孕前风险.
- 经FDA批准的可溶性fms-like氨酸激酶1/胎盘生长因子比率有助于短期预测子前期.
- 140/90 mm Hg的抗高血压治疗改善了怀孕期间慢性高血压的结果.
结论:
- 早期使用阿司匹林和及时启动抗高血压药物对于管理妊娠高血压疾病至关重要.
- 生物标志物比率为孕前提供了新的诊断能力.
- 患有妊娠前史的女性需要持续进行心血管风险评估和咨询.
更多相关视频
12:02Human Primary Trophoblast Cell Culture Model to Study the Protective Effects of Melatonin Against Hypoxia/reoxygenation-induced Disruption
Published on: July 30, 2016
12:17The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo
Published on: August 2, 2017
相关概念视频
Hormonal Regulation
Hypertension and Regulation of Blood Pressure
Teratogenicity
Alterations in Blood Pressure
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...
Diabetes Mellitus: Type 2 and Gestational
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
