怀孕期间心脏植入式电子设备:一个位置声明
James Castleman1, Stephanie Curtis2, Caroline Fox1
1Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
概括
本指南为使用起器或植入式心脏转移器除器的孕妇提供了最佳实践. 它旨在提高安全性,并尽量减少怀孕和产后期间与心脏器件相关的风险.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 医疗器械管理 医疗器械管理
背景情况:
- 心脏植入式电子设备 (CIED),如永久起器 (PPM) 和植入式心脏转动器除器 (ICD),在育龄妇女中越来越普遍.
- 怀孕带来了独特的生理挑战,这些挑战可能会影响CIED功能和患者管理.
- 需要更新,基于证据的指导方针来管理CIED在怀孕,分娩和产后期间.
研究的目的:
- 为患有PPM或ICD的妇女和分娩人员的产科管理提供全面指导.
- 为安全和有效的护理制定当代的,基于证据的建议.
- 为了降低与CIED相关的不良事件的风险,在整个妊娠连续性.
主要方法:
- 对关于CIEDs在怀孕期间的现有文献进行系统审查.
- 对于证据有限的领域,专家共识的发展.
- 基于综合数据的临床建议的制定.
主要成果:
- 该文件概述了各种阶段的管理策略,包括孕前,怀孕,分娩和产后.
- 建议涉及设备查询,编程调整和潜在的并发症.
- 专家的共识提供了指导,在可靠的临床试验数据稀缺的情况下.
结论:
- 实施CIED在怀孕期间的标准化管理协议至关重要.
- 遵守这些指导方针可以改善母亲和胎儿的结果.
- 这份文件是医疗保健提供者管理这个不断增长的患者群体的重要资源.
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