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Bệnh tim mạch khi mang thai

Wayne J. Franklin, Mary Kay Benton, Dhaval R. Parekh, Stephanie A. Coulter

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Bệnh tim ở bệnh nhân mang thai có thể gây ra rất nhiều thách thức cho bác sĩ.1 Ngay cả ở những bệnh nhân bình thường, việc mang thai tạo ra nhiều thay đổi sinh lý mạnh mẽ lên hệ thống tim mạch. Chúng bao gồm tăng 50% thể tích huyết tương, tăng 17% nhịp đập khi nghỉ ngơi và tăng 50% cung lượng tim. Sau khi sinh, nhịp tim sẽ bình thường trong vòng 10 ngày; sau 3 tháng sau sinh, thể tích nhát bóp, cung lượng tim và sức cản mạch máu toàn thân trở lại trạng thái trước khi mang thai. Hướng dẫn chung về điều trị phụ nữ mang thai mắc bệnh tim được trình bày dưới đây.

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