Acceso gestor editorial


Revista Angiología 00619 / http://dx.doi.org/10.20960/angiologia.00619
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Artículos Especiales

Documento de consenso de la Sociedad Española de Obstetricia y Ginecologia (SEGO) y el Comité Español Interdisciplinario para la Prevención Vascular (CEIPV). Ventana de oportunidad: prevención del riesgo vascular en la mujer. Resultados adversos del embar


María Goya, Marta Miserachs, Anna Suy Franch, Jorge Burgos, María de la Calle, Carlos Brotons, María del Mar Castellanos, Olga Cortés, Ángel Díaz Rodríguez, Roberto Elosúa, María del Mar Freijo, María González Fondado, Manuel Gorostidi, María Grau, Antonio M. Hernández Martínez, Carlos Lahoz, Nuria Muñoz-Rivas, Vicente Pallarés-Carratalá, Juan Pedro-Botet, Enrique Rodilla, Miguel Ángel Royo-Bordonada, Rafael Santamaría, Mónica Torres Fonseca, Alina Velescu, Alberto Zamora, Pedro Armario

Prepublicado: 2024-02-15
Publicado: 2024-04-10

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Este documento resume la evidencia que existe entre los resultados adversos del embarazo (RAE) y el riesgo que tiene una persona gestante de desarrollar factores de riesgo vascular (RV) que pueden terminar provocando enfermedad vascular (EV) futura. Asimismo, este documento destaca la importancia de saber reconocer los RAE cuando se evalúa el RV en mujeres. Un antecedente de RAE es un indicador suficiente para hacer una prevención primaria de EV. De hecho, adoptar una dieta saludable y aumentar la actividad física entre las mujeres con RAE, de inicio en el embarazo o en el posparto y manteniéndolas a lo largo de la vida, son intervenciones importantes que permiten disminuir el RV. Por otro lado, la lactancia materna también puede disminuir el RV posterior de la mujer, incluyendo menos riesgo de mortalidad. Estudios futuros que evalúen el uso del ácido acetilsalicílico, las estatinas y la metformina, entre otros, en las mujeres con antecedentes de RAE podrían reforzar las recomendaciones sobre el uso de la farmacoterapia en la prevención primaria de la EV entre estas pacientes. Existen diferentes opciones dentro de los sistemas de salud para mejorar la transición de la atención de las mujeres con RAE entre los diferentes profesionales e implementar estrategias para reducir su RV a largo plazo. Una posible estrategia podría ser la incorporación del concepto del cuarto trimestre en las recomendaciones clínicas y las políticas de atención de la salud.

Palabras Clave: Riesgo vascular. Embarazo. Posparto. Prevención de riesgo.



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