Cardiac disease in pregnancy and marfan's syndrome

Cardiac disease in pregnancy Microchapters
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Overview
Pathophysiology
Epidemiology and Demographics
Risk Factors
Diagnosis
History and Symptoms
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Electrocardiogram
Exercise Testing
Radiation Exposure
Chest X Ray
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MRI
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Catheterization: Pulmonary artery catheterization Cardiac catheterization Cardiac Ablation
Treatment
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(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

• Autosomal dominant inheritance pattern (counseling is essential)
• Major risk is aortic dissection
• Most common in 3rd trimester or 1st stage of labor
• Increases with enlarging aortic root diameter

• Prophylactic beta-blockers appear to be helpful
• Close follow-up with serial echocardiography

• Surgery:

• Surgery recommended pre-conception if root diameter >40 mm
• Surgery recommend during gestation if > 55 mm

References

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