对于心血管疾病患者的辅助生殖技术的特殊考虑
Sarah C Cromack1, Vanessa Kalinowska2, Christina E Boots1
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Fertility and sterility
|March 27, 2025
概括
辅助生殖技术 (ART) 为心血管疾病患者提供了建立家庭的选择. 本综述为接受ART的这些患者提供了多学科护理指南,考虑了风险和生育能力的保护.
科学领域:
- 生殖医学 生殖医学
- 心脏病学 心脏病学
- 遗传学 遗传学 是一个
背景情况:
- 心血管疾病 (CVD) 影响生殖年龄的个体建立家庭的愿望.
- 在心血管疾病患者中使用辅助生殖技术 (ART) 的原因包括不孕症,生育保存,遗传问题和代孕.
- 心血管疾病的严重程度各不相同,影响ART期间的怀孕风险.
研究的目的:
- 在寻求ART的患者中审查心血管疾病.
- 概述心血管疾病患者的ART前评估和风险分层.
- 为这一群体的ART周期提供基于证据的指导.
主要方法:
- 文献综述侧重于心血管疾病和ART.
- 与ART相关的心血管疾病的分类.
- 讨论在ART前评估中的多学科团队角色.
- 对ART和怀孕的风险分层策略.
主要成果:
- 心血管疾病给接受ART的患者带来了一系列风险.
- 结构化,多学科的方法对于评估和管理这些患者至关重要.
- 对于体外受精和胚胎移植周期需要具体的指导.
结论:
- 辅助生殖技术可以被心血管疾病患者利用.
- 谨慎的风险评估和管理对于成功的ART结果至关重要.
- 个性化,基于证据的策略对于接受ART的生殖年龄的心血管疾病患者至关重要.
相关概念视频
Cardiac Catheterization I: Pre-Procedure Overview
3.4K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
3.4K
Coronary Artery Disease V: Interprofessional Care
452
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
452
Heart Failure VI: Adjunct Therapies
635
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
635
Cardiomyopathy II: Dilated Cardiomyopathy
802
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
802
Cardiomyopathy III: Hypertrophic Cardiomyopathy
812
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
812
Cardiomyopathy V: Interprofessional Care
762
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
762


