怀孕结果在女性与双心室循环和系统右心室:一个系统性审查
Triantafyllia Grantza1, Alexandra Arvanitaki1,2, Amalia Baroutidou1
1First Department of Cardiology, AHEPA University General Hospital, School of Medicine, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.
Journal of clinical medicine
|December 17, 2024
概括
患有全身右心室 (sRV) 和双心室循环的妇女怀孕的死亡率低,但孕产妇并发症和新生儿不良后果的风险很高. 专门的中心管理对于这些高风险怀孕至关重要.
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
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 患有全身右心室 (sRV) 和双心室循环的女性怀孕风险高.
- 关于这一特定人群的怀孕结果的数据有限.
研究的目的:
- 为了研究怀孕后果,在女性与双心血管循环和sRV.
- 为了确定与这些怀孕相关的孕产妇和胎儿并发症.
主要方法:
- 对15项研究进行了系统审查.
- 包括具有大动脉完全转移 (d-TGA) 或大动脉先天纠正转移 (ccTGA) 的孕妇.
主要成果:
- 低产妇死亡率 (0.8%) 和心脏移植率.
- 孕产妇患病率高,包括AV反 (16%),sRV功能障碍 (15%) 和心力衰竭 (6%).
- 显著的新生儿并发症:对于妊娠年龄来说小 (36%) 和早产 (22%).
结论:
- 在sRV怀孕中,孕产妇和胎儿/新生儿死亡率较低.
- 显著的孕产妇发病率和新生儿不良后果需要专门的护理.
- 专业中心的管理对于最佳结果至关重要.
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