产科患者的心脏诊断:从接受心脏病咨询的患者进行的基于三个月的观察性分析
1Department of Cardiology, Antalya ASV Yaşam Hospital, Antalya, Türkiye.
概括
怀孕期间的心脏咨询在第三季度达到顶峰,心和胸痛是常见的投诉. 高血压和双肩吐是常见的诊断,强调了怀孕期间需要持续的心脏护理的必要性.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 怀孕显著改变心血管生理学,增加心脏并发症的风险.
- 心血管疾病是导致孕产妇发病和死亡的主要原因.
- 在怀孕期间识别和管理心脏病状况对于母亲和胎儿的结果至关重要.
研究的目的:
- 为了确定怀孕妇女心脏病的发病频率和诊断的心血管疾病,建议进行心脏病咨询.
- 分析这些条件在不同怀孕季度的分布.
主要方法:
- 在2020年9月至2022年3月期间,对658名被转诊到心脏病的孕妇进行了回顾性观察性研究.
- 数据收集包括人口统计学,临床表现,三个月,生命体征,贫血,心电图和心声回声.
- 通过临床评估和诊断成像来确定心脏诊断.
主要成果:
- 大多数咨询 (49.1%) 发生在妊娠的第三季度,心和胸痛是主要的投诉.
- 高血压 (15.2%) 和双肩吐 (12.5%) 是最常见的诊断;高血压在怀孕第二季度更频繁.
- 整体而言,心律失常是最常见的诊断 (16.6%);感染性内心炎,心肌炎和心周炎在第三季度更为普遍.
结论:
- 心脏咨询在怀孕晚期最常见,原因是心和胸痛等症状.
- 高血压和双肩吐是怀孕期间心血管疾病的关键诊断.
- 积极和持续的心脏病评估对于管理与怀孕有关的心血管风险至关重要.
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