Cardiovascular consequences of great obstetrical syndromes
- 作者: Akhmadeyev N.R.1,2, Fatkullin I.F.1, Fatkullina L.S.1
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隶属关系:
- Kazan State Medical University, Ministry of Health of the Russian Federation
- City Clinical Hospital No. 16
- 期: 编号 4 (2023)
- 页面: 5-11
- 栏目: Reviews
- URL: https://journals.eco-vector.com/0300-9092/article/view/456473
- DOI: https://doi.org/10.18565/aig.2022.287
- ID: 456473
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详细
The great obstetrical syndromes (GOS) are a term that summarizes major obstetric complications from a pathogenesis perspective. It includes preterm labor, pre-labor rupture of membranes, pre-eclampsia, fetus small for gestational age (low birth weight), and other conditions. The pathogenesis of GOS includes immune and vascular elements, which, among others, determine its effects on the cardiovascular system. Preeclampsia is the most studied complication of pregnancy in terms of the development of cardiovascular complications, including arterial hypertension, impaired cardiac function, risk of cardiovascular events, and mortality. Fetal growth restriction and preterm birth are not accompanied by the development of critical organ dysfunction; however, the common pathogenesis determines the risk of future cardiovascular events. The cardiovascular risk in patients with obstetric complications is elevated even before pregnancy; therefore, the development of GOS may trigger the development of complications. Despite the existence of some evidence base on the consequences of GOS, patient follow-up is not organized, and a regulatory framework has not been developed. The Russian Federation has no regulatory framework for the inclusion of such patients in outpatient medical supervision. Early diagnosis and appropriate rehabilitation can minimize the risk of long-term sequelae.
Conclusion: The data presented in this review indicate a high incidence of cardiovascular events following obstetric complications. The development of a methodology, forms of implementation, and recommendations for rehabilitation based on interdisciplinary interaction and continuity can become a new direction for scientific research and organizational solutions to this important problem.
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作者简介
Nariman Akhmadeyev
Kazan State Medical University, Ministry of Health of the Russian Federation; City Clinical Hospital No. 16
编辑信件的主要联系方式.
Email: akhmadeyevnr@gmail.com
ORCID iD: 0000-0003-0908-7256
Ph.D., Associate Professor, Department of Obstetrics and Gynecology named after Prof. V.S. Gruzdev; Head of Labor Department No.1
俄罗斯联邦, Kazan; KazanIldar Fatkullin
Kazan State Medical University, Ministry of Health of the Russian Federation
Email: fatkullin@yandex.ru
ORCID iD: 0000-0001-9673-9077
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology named after Prof. V.S. Gruzdev
俄罗斯联邦, KazanLarisa Fatkullina
Kazan State Medical University, Ministry of Health of the Russian Federation
Email: fatkullinalara@gmail.com
ORCID iD: 0000-0003-0361-2785
Ph.D., Associate Professor, Department of Obstetrics and Gynecology named after Prof. V.S. Gruzdev; Chief Freelance Specialist in Obstetrics and Gynecology of Kazan Department of Health of Ministry of Health of the Republic of Tatarstan
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