利用心脏登记来突出妊娠期的多学科护理
Using a cardiac registry to highlight multidisciplinary care in pregnancy.
摘要(中文译文)
妊娠期心脏病与显著的母婴风险相关。心脏病登记系统提供了一种系统收集心脏病孕妇数据的方式，有助于分析结局、诊疗方法并制定改进的临床方案。旨在评估妊娠心脏团队（PHT）在妊娠期心脏病管理中的作用，使用国家妇产医院（NMH）新建立的登记系统数据。这是一项前瞻性研究，分析了2021年1月至2024年9月期间在NMH产科-心脏科联合门诊就诊女性的登记数据。登记系统纳入妊娠期及孕前患者。收集了人口学资料、心脏诊断、风险分类以及母婴结局。共纳入111名心脏病女性，涵盖153次妊娠。大多数女性（87.6%，n=134）为既往存在心脏病，而12.4%（n=19）为妊娠期新诊断。心律失常是最常见的诊断（60.3%，n=91）。12.4%（n=19）的女性接受了孕前咨询。使用改良世界卫生组织（mWHO）分类进行风险分层显示，33.3%（n=44）为I级，34.1%（n=45）为II级，25%（n=33）为II-III级，7.6%（n=10）为III级；没有女性被归类为mWHO IV级。心脏事件发生于16.4%（n=26），最常见于妊娠晚期（42.3%，n=11），凸显其为高风险时期。登记系统的发现强调了早期、结构化PHT诊疗的重要性，以确保最佳的母婴结局。
Abstract
Cardiac disease in pregnancy is linked to significant maternal and fetal risks. A cardiac registry provides a way to systematically collect data on pregnant women with cardiac disease, enabling analysis of outcomes, care approaches, and the development of improved clinical protocols. To assess the role of a Pregnancy Heart Team (PHT) in managing cardiac disease during pregnancy, using data from a newly established registry at the National Maternity Hospital (NMH). This was a prospective study analysing registry data from women attending the joint obstetric-cardiology clinic at NMH between January 2021 and September 2024. The registry included pregnant and pre-pregnancy patients. Demographics, cardiac diagnoses, risk classification, and maternal and neonatal outcomes were collected. A total of 111 women with cardiac disease were captured, encompassing 153 pregnancies. Most women (87.6%, n = 134) had pre-existing cardiac disease, while 12.4% (n = 19) were newly diagnosed during pregnancy. Rhythm disorders were the most common diagnosis (60.3%, n = 91). 12.4% (n = 19) of women received pre-conceptual counselling. Risk stratification using the modified World Health Organization (mWHO) classification showed that 33.3% (n = 44) were class I, 34.1% (n = 45) class II, 25% (n = 33) class II-III, and 7.6% (n = 10) class III; no women were classified as mWHO IV. Cardiac events occurred in 16.4% (n = 26), most frequently in the third trimester (42.3%, n = 11), highlighting this as a high-risk period. Registry findings highlights the importance of early, structured PHT care, to ensure optimal maternal and fetal outcomes.
如何引用
AMA
Aoibhinn Smyth, C O'Brien, M Higgins, S Corcoran, F McAuliffe, C Canniffe. Using a cardiac registry to highlight multidisciplinary care in pregnancy.. Irish journal of medical science. 2026; doi:10.1007/s11845-026-04462-4.
APA
Aoibhinn Smyth, C O'Brien, M Higgins, S Corcoran, F McAuliffe, C Canniffe (2026). Using a cardiac registry to highlight multidisciplinary care in pregnancy.. Irish journal of medical science. https://doi.org/10.1007/s11845-026-04462-4
GB/T 7714
Aoibhinn Smyth, C O'Brien, M Higgins, S Corcoran, F McAuliffe, C Canniffe. Using a cardiac registry to highlight multidisciplinary care in pregnancy.[J]. Irish journal of medical science, 2026 doi:10.1007/s11845-026-04462-4.
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