https://scholars.lib.ntu.edu.tw/handle/123456789/525265
標題: | Preconception counseling for women with congenital heart disease | 作者: | CHUN-WEI LU MEI-HWAN WU JOU-KOU WANG Lin M.-T. CHUN-AN CHEN SHUENN-NAN CHIU Chiu H.-H. |
公開日期: | 2015 | 出版社: | Republic of China Society of Cardiology | 卷: | 31 | 期: | 6 | 起(迄)頁: | 500-506 | 來源出版物: | Acta Cardiologica Sinica | 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. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958182626&doi=10.6515%2fACS20150319B&partnerID=40&md5=0613ddbf7d4c48bfd14d02d483cdfc47 https://scholars.lib.ntu.edu.tw/handle/123456789/525265 |
ISSN: | 1011-6842 | DOI: | 10.6515/ACS20150319B | SDG/關鍵字: | adenosine; amiodarone; angiotensin receptor antagonist; beta adrenergic receptor blocking agent; bosentan; calcium channel blocking agent; digoxin; dipeptidyl carboxypeptidase inhibitor; furosemide; heparin; lidocaine; nitric oxide; phenytoin; procainamide; prostacyclin; quinidine; spironolactone; warfarin; anxiety; aorta coarctation; aorta dissection; aorta stenosis; Article; atrioventricular septal defect; blood autotransfusion; blood pressure; congenital heart disease; Fallot tetralogy; fetus risk; growth retardation; heart arrhythmia; heart atrium septum defect; heart failure; heart rate; heart ventricle septum defect; hemodynamic stress; human; maternal care; maternal hypertension; pain; patent ductus arteriosus; patient counseling; premature labor; pulmonary valve stenosis; risk assessment; spontaneous abortion; thromboembolism; vaginal delivery; vascular resistance |
顯示於: | 醫學系 |
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