2018 ESC指南:妊娠期心血管疾病的管理

2018-08-25 欧洲心脏病学会 European Heart Journal (2018) 00, 1–83

2018年8月,欧洲心脏病学会(ESC)发布了妊娠期心血管疾病的管理指南。部分I类推荐如下: ➤建议进行右心导管检查来确诊肺动脉高压(PAH)。这项检查可以在孕期进行,但有非常严格的适应证(C级证据) ➤对于有慢性血栓栓塞性肺动脉高压的孕妇,建议使用治疗剂量的低分子量肝素(LMWH)(C级证据) ➤肺栓塞患者,建议仅在严重低血压或休克时进行溶栓治疗(C级证据)

中文标题:

2018 ESC指南:妊娠期心血管疾病的管理

英文标题:

2018 ESC Guidelines for themanagement of cardiovascular diseases during pregnancy

发布机构:

欧洲心脏病学会

发布日期:

2018-08-25

简要介绍:

2018年8月,欧洲心脏病学会(ESC)发布了妊娠期心血管疾病的管理指南。部分I类推荐如下:

➤建议进行右心导管检查来确诊肺动脉高压(PAH)。这项检查可以在孕期进行,但有非常严格的适应证(C级证据)

➤对于有慢性血栓栓塞性肺动脉高压的孕妇,建议使用治疗剂量的低分子量肝素(LMWH)(C级证据)

➤肺栓塞患者,建议仅在严重低血压或休克时进行溶栓治疗(C级证据)

➤高血栓栓塞风险的女性,建议在分娩前至少36小时将LMWH转换为普通肝素(UFH),并在预期分娩前4~6小时停用UFH。局部麻醉前aPTT应正常(C级证据)

➤对于使用LMWH治疗的低血栓栓塞风险女性,建议在最后一次LMWH 24小时后进行引产或剖宫产手术(C级证据


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    2020-11-15 Jiwenma

    谢谢分享

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    2020-09-08 ms1000000302953060

    感觉

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    2018-10-06 清幽蓝燕yan

    学习了,谢谢分享

    0

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    2018-08-27 清风拂面

    谢谢分享学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=899366, encodeId=05bb899366b4, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201115/a391aa6f7c9044369826b4b8fafdc860/2599291447e8482cb3d2ae483b2ed508.jpg, createdBy=16105435084, createdName=Jiwenma, createdTime=Sun Nov 15 20:25:35 CST 2020, time=2020-11-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=883563, encodeId=75c888356384, content=感觉, beContent=null, objectType=guider, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/55f15b58d91d45c09faf0272721b59d8/b8f36c2def38403ab9fdabaae56a939c.jpg, createdBy=f0935399328, createdName=ms1000000302953060, createdTime=Tue Sep 08 10:49:15 CST 2020, time=2020-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=348237, encodeId=66bb34823e67, content=学习了,谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJHmctib8wsjB1Y0etxU20nsCbR8rZ2fpibp2STmwH2YzicIsTe9oHRGB6XIMeBqNdIvxODicmzfeQibIw/132, createdBy=82211964557, createdName=清幽蓝燕yan, createdTime=Sat Oct 06 21:56:31 CST 2018, time=2018-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=341376, encodeId=df963413e695, content=谢谢分享学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Mon Aug 27 23:57:47 CST 2018, time=2018-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=341362, encodeId=b8c734136209, content=不错的文章值得拥有哦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Mon Aug 27 23:17:15 CST 2018, time=2018-08-27, status=1, ipAttribution=)]
    2018-08-27 1e1b8538m79(暂无匿称)

    不错的文章值得拥有哦

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