Pregnancy and heart disease epidemiology and demographics: Difference between revisions

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*Rheumatic heart disease still predominates in developing countries and in immigrant populations in the United States.
*Rheumatic heart disease still predominates in developing countries and in immigrant populations in the United States.
*Maternal death during pregnancy in women with heart disease is rare; conditions that are associated with increased mortality include Eisenmenger syndrome, pulmonary vascular obstructive disease, and Marfan syndrome with aortopathy.<ref name="pmid11359761">{{cite journal| author=Siu SC, Colman JM| title=Heart disease and pregnancy. | journal=Heart | year= 2001 | volume= 85 | issue= 6 | pages= 710-5 | pmid=11359761 | doi= | pmc=PMC1729784 | url= }} </ref>
*Maternal death during pregnancy in women with heart disease is rare; conditions that are associated with increased mortality include Eisenmenger syndrome, pulmonary vascular obstructive disease, and Marfan syndrome with aortopathy.<ref name="pmid11359761">{{cite journal| author=Siu SC, Colman JM| title=Heart disease and pregnancy. | journal=Heart | year= 2001 | volume= 85 | issue= 6 | pages= 710-5 | pmid=11359761 | doi= | pmc=PMC1729784 | url= }} </ref>
 
*In a prospective study of 562 pregnant women with heart disease (aged 28+/-6 years) at 13 Canadian cardiac and obstetric teaching hospitals, a primary cardiac event occurred in 80 completed pregnan- cies (13%), the most common being pulmonary edema and cardiac arrhythmia.<ref name="pmid11479246">{{cite journal| author=Siu SC, Sermer M, Colman JM, Alvarez AN, Mercier LA, Morton BC et al.| title=Prospective multicenter study of pregnancy outcomes in women with heart disease. | journal=Circulation | year= 2001 | volume= 104 | issue= 5 | pages= 515-21 | pmid=11479246 | doi= | pmc= | url= }} </ref>


==References==
==References==

Revision as of 20:07, 10 August 2011

Cardiac disease in pregnancy Microchapters

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Overview

Pathophysiology

Epidemiology and Demographics

Risk Factors

Diagnosis

History and Symptoms

Physical Examination

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Radiation Exposure

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Catheterization:

Pulmonary artery catheterization
Cardiac catheterization
Cardiac Ablation

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Cardiovascular Drugs in Pregnancy

Labor and delivery

Resuscitation in Late Pregnancy

Contraindications to pregnancy

Special Scenarios:

I. Pre-existing Cardiac Disease:
Congenital Heart Disease
Repaired Congenital Heart Disease
Pulmonary Hypertension
Rheumatic Heart Disease
Connective Tissue Disorders
II. Valvular Heart Disease:
Mitral Stenosis
Mitral Regurgitation
Aortic Insufficiency
Aortic Stenosis
Mechanical Prosthetic Valves
Tissue Prosthetic Valves
III. Cardiomyopathy:
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Peripartum Cardiomyopathy
IV. Cardiac diseases that may develop During Pregnancy:
Arrhythmias
Acute Myocardial Infarction
Hypertension

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor In Chief: Anjan K. Chakrabarti, M.D. [2]


Overview

  • Approximately 1-4% of pregnancies in the United States involve maternal cardiovascular disease.

Epidemiology in Developed and Developing Countries

  • Increasing numbers of women with congenital heart disease are now reaching childbearing age.
  • Congential heart disease is now the most common form of heart disease complicating pregnancy in the United States.
  • Rheumatic heart disease still predominates in developing countries and in immigrant populations in the United States.
  • Maternal death during pregnancy in women with heart disease is rare; conditions that are associated with increased mortality include Eisenmenger syndrome, pulmonary vascular obstructive disease, and Marfan syndrome with aortopathy.[1]
  • In a prospective study of 562 pregnant women with heart disease (aged 28+/-6 years) at 13 Canadian cardiac and obstetric teaching hospitals, a primary cardiac event occurred in 80 completed pregnan- cies (13%), the most common being pulmonary edema and cardiac arrhythmia.[2]

References

  1. Siu SC, Colman JM (2001). "Heart disease and pregnancy". Heart. 85 (6): 710–5. PMC 1729784. PMID 11359761.
  2. Siu SC, Sermer M, Colman JM, Alvarez AN, Mercier LA, Morton BC; et al. (2001). "Prospective multicenter study of pregnancy outcomes in women with heart disease". Circulation. 104 (5): 515–21. PMID 11479246.


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