頁籤選單縮合
題名 | Preconception Counseling for Women with Congenital Heart Disease= |
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作者 | Lu, Chun-wei; Wu, Mei-hwan; Wang, Jou-kou; Lin, Min-tai; Chen, Chun-an; Chiu, Shenn-nan; Chiu, Hsin-hui; |
期刊 | Acta Cardiologica Sinica |
出版日期 | 20151100 |
卷期 | 31:6 2015.11[民104.11] |
頁次 | 頁500-506 |
分類號 | 415.315 |
語文 | eng |
關鍵詞 | Congenital heart disease; Pregnancy; |
英文摘要 | With advances that have been made over the recent decades in transcatheter and surgical interventions, most patients with congenital heart disease (CHD) can survive into adulthood. Overall, probably half of these surviving patients are female. When these female CHD patients reach childbearing age, however, pregnancy management will be a major issue. In order to meet the demands of fetal growth, the maternal cardiovascular system starts a series of adaptations beginning in early pregnancy. These adaptations include: decreased systemic and pulmonary vascular resistances, decreased blood pressure, expansion of the blood volume, increased heart rate and increased cardiac output. For women with CHD, this hemodynamic alteration may increase the risks of adverse cardiovascular events as well as the fetal and neonatal complications. Therefore, proper risk stratification and effective counseling for women with CHD who are planning their pregnancies is an important undertaking. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。