怀孕期间心血管疾病:2000年至2019年期间瑞典基于人口的队列研究中的患病率和产科结果
Teresia Svanvik1,2, Rema Ramakrishnan2, Martin Svensson3
1Department of Obstetrics and Gynecology, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Acta obstetricia et gynecologica Scandinavica
|October 24, 2024
概括
在瑞典,怀孕期间心血管疾病的发病率正在上升,主要是由于心律不整. 诊断时间对母亲和婴儿的结果产生影响,特别是在第一次母亲中,突出了需要警监测的需要.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 怀孕期间的心血管疾病 (CVD),在分娩前,分娩期间或产后6个月内被诊断出,存在瑞典以前没有详细说明的风险.
- 这项研究调查了瑞典心脏病发病率趋势和相关的孕产妇/产周结局.
研究的目的:
- 分析2000-2019年瑞典孕妇心血管疾病患病率的趋势.
- 检查怀孕期间诊断的心血管疾病与孕产妇和围产期不良结果之间的关联.
- 评估心血管疾病诊断时间 (怀孕前,怀孕期间,产后) 对结果的影响.
主要方法:
- 基于人口的回顾性队列研究,使用瑞典医疗出生登记 (2000-2019).
- 患病率计算为每名孕妇每年诊断的心血管疾病.
- 使用依赖时间的Cox和Poisson回归模型分析的不良结果,随访时间长达分娩后一年.
主要成果:
- 孕妇心血管疾病的患病率从0.31%增加到1.34%,主要是由心律不整引起的.
- 患有心血管疾病的女性面临着更高的阴风险,精神病医院入院和一年死亡率,诊断时间很重要.
- 患有心血管疾病的母亲生下的孩子有过早分娩的风险增加,并且对于妊娠年龄来说很小.
结论:
- 在瑞典,怀孕妇女心血管疾病患病率显著增加,主要是由于心律不整.
- 心血管疾病诊断的时间,特别是产后诊断,对于初生妇女的孕产妇和产周结局至关重要.
- 提高怀孕期间和产后对心血管疾病的孕妇的认识和监测对于所有医疗保健工作人员至关重要.
相关概念视频
01:22Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
7
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
7
01:14Fetal Circulation
828
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...
828
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
103
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
103
01:23Assessment of the Cardiovascular System I: Subjective Data
280
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
280
01:27Psychoneuroimmunology: Cardiovascular Disease
25
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
25