臨床検査62巻3号

2018年03月発行

今月の特集2 成人先天性心疾患

成人先天性心疾患と妊娠・出産

著者： 神谷千津子¹

所属機関： ¹国立循環器病研究センター周産期・婦人科

ページ範囲：P.328 - P.335

Point

●妊娠・出産を通じて，循環動態はダイナミックに変化する．先天性心疾患をもつ多くの女性が安全に出産する一方，一部の病態では，母児の生命も脅かすハイリスクなものとなる．

●循環血漿量や心拍数の増加，血管抵抗の変化，凝固亢進，血管脆弱化など，妊娠による生理的変化を時間軸と併せて理解し，心疾患合併妊娠の診療に当たる．

●エコー検査は非侵襲的で胎児被曝を与えない，妊娠中に最も適した心スクリーニング検査である．ナトリウム利尿ペプチド値は，心疾患合併妊娠における合併症を予測する．

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