超声心动图在围生期心肌病中的应用价值研究进展

Progress in application of echocardiography in perinatal cardiomyopathy

围生期心肌病是一种发生在妊娠末期或产后早期的特发性收缩性心力衰竭,确切的发病机制尚不清楚,非洲血统、多产、高血压妇女或高龄产妇发病率较高,临床结局多变,从完全康复到持续性心力衰竭需要心脏移植甚至死亡。超声心动图是围生期心肌病首选和核心检查方法,本文系统综述超声心动图在围生期心肌病的诊断、风险分层、预防并发症、预后预测等方面的价值,预期能够改善这种罕见但具有挑战性疾病的预后。

Peripartum cardiomyopathy is a type of idiopathic systolic heart failure that occurs in the third trimester or early postpartum period.The exact pathogenesis of this disease is unknown,and it has a higher incidence in women of African ancestry and those with multiparity,hypertension,or advanced maternal age.Clinical outcomes vary from full recovery to persistent heart failure requiring heart transplantation and even death.Echocardiography is the preferred and core examination method for peripartum cardiomyopathy.This article systematically reviews the value of echocardiography in the diagnosis,risk stratification,prevention of complications,and prediction of peripartum cardiomyopathy,hoping to improve the prognosis of this rare but challenging disease.