摘要
年轻生育期女性急性心肌梗死发生少见,但导致孕妇在妊娠期发生死亡多由于心血管疾病,其中急性心肌梗死占20%,增加了胎儿及新生儿并发症及死亡率,中国二胎政策全面开放,高龄产妇逐渐增多,孕妇年龄及其他心血管疾病危险因素的增加将会增加妊娠合并急性心肌梗死的发生,有关妊娠合并急性心肌梗死的相关病例较少,未引起心血管病专家重视,因人群特殊性,也缺乏相关临床研究,仅见于病例报道及回顾性文章。为进一步提高临床医生对妊娠相关急性心肌梗死的识别和处理,复习相关文献做一综述。
Acute myocardial i irfarction （AMI） in pregnant women is rare. Cardiac disease is the leading cause of mortal ity rates in pregnancy and AMI accounts for a large proportion （20 % ）. AMI has a significant contribution not only to maternal mortality, but to maternal and fetal morbidity as well. At present,the two-child policy is fully open,with the rise in maternal age and the increasing number of high-risk women who become pregnant. The prevalence of pregnancy-related AMI is expected to increase. The relevant cases of pregnancy with AMI is less and more exhaustive data on the management of such cases is lacking. For this reason,the attention on management of cardiovascular disease in pregnant women is scarce. To further improve the identification and treatment of AMI associated with pregnancy, this paper reviewed the relevant literature.
出处
《心血管病学进展》
CAS
2018年第2期239-243,共5页
Advances in Cardiovascular Diseases
关键词
妊娠
急性心肌梗死
孕期诊治
Pregnancy
Acute myocardial infarction
Management during pregnancy
