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妊娠合并无结构性心脏病心律失常877例临床分析 预览 被引量:8

A Retrospective Analysis of 877 Cases of Pregnant Women with Arrhythmias Associated with Structurally Normal Heart
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摘要 目的:探讨妊娠合并无结构性心脏病心律失常患者的治疗及妊娠结局。方法:收集1993年1月至2014年12月在上海交通大学医学院附属仁济医院分娩的877例无结构性心脏病心律失常患者的临床资料,对心律失常类型、治疗及妊娠结局进行分析。结果:877例妊娠合并心律失常以室性早搏最为常见(456例,占52.0%),其次为窦性心动过速(182例,占20.8%)。患者足月分娩819例(93.4%)。孕期心功能Ⅰ-Ⅱ级者占99.4%(872/877),Ⅲ-Ⅳ级者0.6%(5/877);178例(20.4%)心功能Ⅰ-Ⅱ级患者予抗心律失常治疗,而5例(100.0%)心功能Ⅲ-Ⅳ级患者均予抗心律失常治疗;心功能Ⅲ-Ⅳ级者平均分娩孕周明显短于Ⅰ-Ⅱ级(38.8±1.4周vs 37.7±1.7周,P〈0.001),围生儿不良结局发生率明显高于Ⅰ-Ⅱ级(8.0%vs 100.0%)。结论:无结构性心脏病心律失常患者以早搏居多,大部分患者心功能状态良好,能够耐受妊娠,经抗心律失常治疗后妊娠结局良好。 Objective:To explore the treatment and pregnancy outcomes of pregnant women with arrhythmias in the absence of structural heart disease among different New York Heart Association(NYHA) functional classifi- cation. Methods:We retrospectively reviewed 877 cases of pregnant women with cardiac arrhythmias who delivered at Renji Hospital from January 1993 to December 2014. The cardiac arrhythmias type,treatment and preg-nancy outcomes of the cases were analyzed. Results:Of the 877 enrolled pregnant women with cardiac arrhyth- mias, the most common type during pregnancy was premature contraction( n =456,52.0% ), followed by sinus tachycardia ( n = 182,20.8% ). Among the 877 patients,819 patients (93, 4% ) underwent full-term delivery. Based on the NYHA function class,872/877 patients(99.4%) were with NHYA functional class I - ]] and 5/877 patients(0.6%) were with NHYA functional class Ⅲ-Ⅳ. 178(20.4% ) patients with NHYA functional class Ⅰ-Ⅱ and 5 (100.0%) patients with NHYA functional class Ⅲ-Ⅳ were respectively treated with anti-arrhythmia medi- cine. Compared to patients with NYHA Ⅰ-Ⅱ ,the shorter mean gestational weeks at delivery(38.8 ± 1.4 gesta- tional weeks vs 37.7± 1.7 gestational weeks, P 〈 0. 001 ) and higher adverse perinatal outcome were in those with NYHA Ⅲ-Ⅳ (8.0% vs 100.0% ). Conclusions.The most common type of patients with arrhythmias in the absence of structural heart disease is premature contraction, most patients have good heart function, and can suc- cessfully go through pregnancy. Even some cases with NHYA functional class Ⅰ-Ⅱ have symptoms,after treat-ment with anti-arrhythmia medicine,their pregnancy outcomes are better than those with NHYA functional class Ⅲ-Ⅳ.
作者 傅勤 林建华 FU Qin,LIN Jianhua ( Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China)
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2016年第8期601-604,共4页 Journal of Practical Obstetrics and Gynecology
关键词 无结构性心脏病 心律失常 妊娠结局 Structurally mormal heart Arrhythmias Pregnancy outcome
作者简介 通讯作者:林建华,Email:linjhuarj@126.com
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参考文献13

  • 1Knotts RJ, Garan H. Cardiac arrhythmias in pregnancy [ J ]. Semin Perinato1,2014,38 ( 5 ) :285 - 288. 被引量:1
  • 2葛均波,徐永健主编..内科学[M].北京:人民卫生出版社,2013:952.
  • 3Hurst JW. The value of using the entire New York Heart Association's classification of heart and vascular disease[ J ]. Clin Cardiol,2006,29 (9) :415 -417. 被引量:1
  • 4Hink E, Bolte AC. Pregnancy outcomes in women with heart disease: Experience of a tertiary center in the Netherlands[ J]. Pregnancy Hy- pertens,2015,5 (2) : 165 - 170. 被引量:1
  • 5Li JM, Nguyen C,Joglar JA,et al. Frequency and outcome of arrhyth- mias complicating admission during pregnancy: experience from a high-volume and ethnically-diverse obstetric service [ J ]. Clin Cardi- ol,2008,31 ( 11 ) :538 - 541. 被引量:1
  • 6Shotan A, Ostrzega E, Mehra A, et al. Incidence of arrhythmias in nor- mal pregnancy and relation to palpitations, dizziness, and syncope [J]. Am J Cardiol,1997,79(8) :1061 - 1064. 被引量:1
  • 7Siu SC,Sermer M,Colman JM,et al. Prospective muhicenter study of pregnancy outcomes in womenwith heart disease [ J ]. Circulation, 2001,104(5) :515 -521. 被引量:1
  • 8Ruys TP,Roos-Hesselink JW, Hall R,et al. Heart failure in pregnant women with cardiac disease : data from the ROPAC [ J ]. Heart,2014, 100(3) :231 -238. 被引量:1
  • 9Clapp JF, Capeless E. Cardiovascular function before, during, and af- ter the first and subsequent pregnancies [ J ]. Am J Cardiol, 1997,80 (11) :1469 -1473. 被引量:1
  • 10Bhatla N, Las S, Bahera G,et al. Cardiac disease in pregnancy [ J ]. Int J Gynaecol Obstet,2003,82 (2) : 153 - 159. 被引量:1

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