在怀孕期间产妇腹上心动节拍的结果
Benjamin W Furman1, Jingwen Huang1, Neal K Bhatia1
1Cardiology Division, Emory University School of Medicine, Atlanta, Georgia, USA.
Journal of cardiovascular electrophysiology
|May 15, 2025
概括
虽然罕见,但在怀孕期间的上心室性心力衰竭 (SVT) 显著增加了死亡风险和诸如心脏性休克等并发症. 这项研究强调了在怀孕期间提高对SVT的认识和管理的需要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 腹腔上高心率 (SVT) 通常被认为是良性的.
- 新出现的数据表明,怀孕期间与SVT相关的潜在不良结果.
研究的目的:
- 调查SVT与怀孕中不良结果之间的关联.
- 确定与怀孕相关的住院治疗中SVT的发病率及其对孕产妇健康的影响.
主要方法:
- 利用国家住院样本 (NIS) 数据库从2016年到2021年.
- 使用ICD-10代码识别了与SVT诊断的怀孕相关住院病例.
- 分析了患者的特征,并发症和住院结果.
主要成果:
- 在2350万例怀孕住院病例中,SVT的确诊率为0.14%.
- 患有SVT的女性在住院死亡率较高 (0.55%vs. 0.01%) 和心脏性休克,机械循环支持和先兆子/子风险增加.
- 只有0.63%的SVT住院患者需要切除,死亡率非常低.
结论:
- 怀孕期间的SVT与显著增加的死亡风险,心脏性休克和先兆子/子有关.
- 这些发现强调了在孕妇中识别和管理SVT的重要性.
- 对妊娠中SVT的最佳管理策略进行进一步的研究是有必要的.
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