遗传性主动脉病变:妊娠和儿科患者的注意事项

Fortunate Mamombe, Catherine E Renwick, A. Potterton, Elizabeth Wilson, C. Romer, Rachana Kalathiparambil, Anita Banerjee, Rosalie Magboo
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引用次数: 0

摘要

这篇文章是关于心血管医学遗传概念的更广泛系列的第五部分。虽然上一期文章概述了遗传性主动脉病变,但本文讨论了患有这些遗传疾病的儿童和孕妇的具体考虑因素。这包括儿童药理学和与儿科护理手术干预相关的问题。还将考虑从儿科向成人服务过渡的过程,因为这是越来越多的遗传性大动脉病变患者进入成年期的关键阶段,有许多机会优化健康和生活质量。对遗传性主动脉病变患者妊娠的讨论将包括每个孕期发生的关键生理变化,重点是孕前咨询和谨慎管理。一个案例研究提供了进一步说明这些观点和护士的关键作用,整个生命周期的遗传性主动脉病变患者。
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Inherited aortopathy: considerations for pregnancy and paediatric patients
This article is the fifth instalment of a wider series on genetic concepts in cardiovascular medicine. While the previous instalment gave an overview of inherited aortopathies, this article discusses specific considerations for children and pregnant patients with these genetic conditions. This includes pharmacology for children and issues related to surgical intervention in paediatric care. The process of transitioning from paediatric to adult services will also be considered, as this is a key stage for the growing number of patients with inherited aortopathy who reach adulthood, with many opportunities for optimising wellbeing and quality of life. The discussion of pregnancy for patients with inherited aortopathies will include key physiological changes that occur in each trimester, with emphasis on pre-conception counselling and careful management. A case study is provided to further illustrate these points and the key role of the nurse throughout the lifespan of patients with inherited aortopathies.
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