Новый взгляд на кровообращение у беременных – антропофизиологическая диагностика гемодинамического обеспечения беременности

Abstract

The circulatory state of the cardiovascular system (CVS) in pregnant women with physiological pregnancy, with perinatal pathology and in the same age group of nonpregnant ones is considered on the basis of the anthropophysiological approach, which is aimed at bearing pregnancy primarily under typical for humans upright walking conditions. An algorithm for systemic diagnostics of the CVS circulatory state, on the basis of which a new principle ofhemodynamic identification of circulatory syndromes of heart failure (HF) is presented, has been considered. The data of the trimester dynamics of the circulatory state of the CVS and the manifestation of the basic syndromes of HF (by perfusion, stagnation) on the left and right heart ventricles, which are detennined as a predictor of possible violations of hemodynamic suppot of pregnancy are shown and discussed.