妊娠期心律失常概述。

Q2 Medicine Methodist DeBakey cardiovascular journal Pub Date : 2024-03-14 eCollection Date: 2024-01-01 DOI:10.14797/mdcvj.1325
Kamala P Tamirisa, Estefania Oliveros, Shweta Paulraj, Adriana C Mares, Annabelle Santos Volgman
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引用次数: 0

摘要

在美国,心血管疾病严重危害妊娠,每年影响 1%至 4% 的妊娠。在各种并发症中,心律失常最为常见,给孕妇和胎儿的健康带来了隐患。妊娠期心律失常的发病率正在上升,部分原因是先天性心脏病手术的进步以及患有结构性心脏病的妇女人数不断增加。虽然大多数心律失常都是良性的,但越来越多的严重心律失常却需要采取积极的应对措施。在许多情况下,指导和安慰就足够了,但持续的症状需要谨慎使用抗心律失常药物或其他疗法,以确保安全。处理更严重的心律失常需要多学科的综合方法,包括母胎医学科医生、心脏病专家、电生理学家和麻醉专家。
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An Overview of Arrhythmias in Pregnancy.

Cardiovascular disease significantly jeopardizes pregnancies in the United States, impacting 1% to 4% of pregnancies annually. Among complications, cardiac arrhythmias are prevalent, posing concerns for maternal and fetal health. The incidence of arrhythmias during pregnancy is rising, partly due to advances in congenital heart surgery and a growing population of women with structural heart disease. While most arrhythmias are benign, the increasing prevalence of more serious arrhythmias warrants a proactive approach. Guidance and reassurance suffice in many cases, but persistent symptoms require cautious use of antiarrhythmic drugs or other therapies for a safe outcome. Managing more serious arrhythmias requires a comprehensive, multidisciplinary approach involving specialists, including maternal-fetal medicine physicians, cardiologists, electrophysiologists, and anesthesiologists.

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