超声心动图评估妊娠合并心脏病伴肺动脉高压的应用进展

Advances on echocardiography application in pregnancy combined with heart disease and pulmonary hypertension

正常心脏和血管能随妊娠需要发生适应性变化,而心脏病伴肺动脉高压患者在妊娠期由于血流动力学急剧变化,心脏负荷加重容易诱发心力衰竭、肺动脉高压危象。超声心动图能够无创评价妊娠合并先天性心脏病、瓣膜病及心肌病伴肺动脉高压患者心脏结构、左右心室功能及肺动脉压力程度,在指导临床早期干预、动态随访监测和预测生存结局方面均起到关键作用。

A normal heart and blood vessels can undergo adaptive changes with the needs of pregnancy,while heart disease and pulmonary hypertension(PH)in pregnancy is easily to induce heart failure and PH crisis on account of increased heart load due to sharp hemodynamic changes.Echocardiography can noninvasively evaluate of cardiac structure,left or right ventricular function,and the degrees of PH in pregnant patients with congenital heart diseases,valvular diseases,or PH⁃related cardiomyopathy.It plays a key role in guiding clinical early intervention,dynamic follow⁃up monitoring,and predicting the outcomes in these patients.