非侵入性多模式成像和特殊治疗考虑在怀孕期间心周炎
Rehan Karmali1, Issam Motairek1, Samia Mazumder1
1Center for Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular and Thoracic Institute.
由于安全问题,孕妇治疗心膜炎需要量身定制的方法. 目前缺乏关于怀孕期间诊断成像和治疗的指导方针.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 类风湿病学 类风湿病学
背景情况:
- 孕妇患心周炎会带来独特的临床挑战.
- 现有的指导方针没有针对怀孕的具体管理策略.
- 异常性心膜炎是常见的,尽管存在自身免疫和自身炎症原因.
研究的目的:
- 审查当前关于孕妇心膜炎管理的知识.
- 突出需要怀孕年龄特定的诊断和治疗指导方针.
- 强调对孕产妇和胎儿安全的共同决策.
主要方法:
- 关于怀孕期间心周炎的现有文献的综述.
- 对诊断成像模式 (心声学,心脏MRI) 的安全数据的分析.
- 考虑不同妊娠阶段和分娩后期的治疗选择的评估.
主要成果:
- 胸外心声学和心脏MRI被认为是安全的成像选择.
- 关于加多基对比剂的安全性存在有限的数据.
- 治疗的安全性在怀孕前,三个月和产后阶段有很大差异.
结论:
- 具有成像指导的多学科方法对于最佳结果至关重要.
- 需要进行进一步的研究,以确定像怀孕期间IL-1阻断剂等治疗方法的安全性.
- 制定关于怀孕期间心膜炎管理的具体指导方针至关重要.
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