JAHA:妊娠高血压对胎儿心脏发育会有明显影响

2020-05-03 MedSci原创 MedSci原创

妊娠并发症如早产和胎儿生长受限与产前和产后心脏发育改变有关。本研究的目的旨在评估孕前高血压是否会胎儿心脏发育相关。

妊娠并发症如早产和胎儿生长受限与产前和产后心脏发育改变有关。本研究的目的旨在评估孕前高血压是否会胎儿心脏发育相关。

本研究通过超声心动图对134名足月新生儿在出生时和3个月大时的左心室和右心室容积、质量和功能进行评估。54名新生儿出生于血压正常的孕母,80名出生于有先兆子痫或高血压的孕母。分析结果发现,两组出生时左心室和右心室重量与体表面积(LVMI和RVMI)相似,但出生于高血压孕母的新生儿右室和心脏舒张功能明显低于正常组,3个月时结果也是如此。到出生后3个月,这些婴儿的LVMI和RVMI也更高。3个月时右室舒张末期容积指数(RVMI)和右室舒张末期容积指数(而不是左室测量值)的差异与高血压疾病的严重程度相关。

研究结果显示,足月出生自高血压妊娠的婴儿在心脏发育方面有明显的差异,右心室的变化与妊娠期疾病的严重程度成正比。

原始出处:

Christina Y et al.Prenatal and Postnatal Cardiac Development in Offspring of Hypertensive Pregnancies.JAHA.2020 May.

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    2020-05-05 一叶知秋
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    2020-05-05 neurowu
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    2020-05-04 IVF密密

    妊娠高血压这一类妊娠疾病,需要加强关注,甚至包括妊娠心肌病

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