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怀孕期间的卵孔:呼吁采取行动
Eirini Beneki1,2, Kyriakos Dimitriadis1, Christos Vrysis3
1From the First Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Cardiology in review
|May 14, 2025
概括
卵孔 (PFO) 的女性在怀孕期间和产后面临矛盾栓塞的风险增加. 本系统性审查强调了孕妇PFO并发症的危险性和需要更好的管理指南.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 血管医学 血管医学
背景情况:
- 卵孔 (PFO) 是一种常见的心脏缺陷,与矛盾的栓塞事件有关.
- 怀孕和产后状态创造了一个高凝血环境,可能会增加PFO妇女的栓塞风险.
研究的目的:
- 系统地审查和评估PFO相关并发症的妇女的不良妊娠结果.
- 评估PFO妇女在怀孕期间和产后期发生矛盾栓塞的风险.
主要方法:
- 更新了文献的系统审查.
- 在MEDLINE,Scopus和Web of Science数据库中进行全面搜索,截至2024年4月.
- 包括28名被诊断患有PFO及其并发症的孕妇.
主要成果:
- 大多数悖论性栓塞事件 (60%) 发生在怀孕期间,其他事件发生在分娩 (11%) 和产后 (29%).
- 缺血性事件占主导地位 (89%),包括缺血性中风 (57%),TIA (14%) 和心肌梗塞 (7%).
- 由于羊水栓塞,心肺骤停发生在11%的患者中;14%的患者中发现过渡性血栓.
结论:
- 关于孕妇PFO的最佳管理策略的数据有限.
- 进一步的研究至关重要,以建立精细的指导方针,对母亲和胎儿安全在这个人群.
- 怀孕期间PFO并发症需要仔细监测和管理.
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