Cardiac disease in pregnancy

	Cardiac disease in pregnancy Microchapters
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Overview
Pathophysiology
Epidemiology and Demographics
Risk Factors
Diagnosis
History and Symptoms
Physical Examination
Electrocardiogram
Exercise Testing
Radiation Exposure
Chest X Ray
Echocardiography
MRI
CT
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

Pathophysiology

Effect of Pregnancy on Maternal Physiology | Hemodynamic changes during Labor and Delivery | Hemodynamic effects of Cesarean Section | Hemodynamic changes Postpartum | Fetal Physiology

Epidemiology and Demographics

Risk Factors

Genetic Testing & Counselling

Diagnosis

Treatment

Antibiotic Prophylaxis

Antithrombotic agents

Resuscitation in Late Pregnancy

Cardiac Conditions Associated with Complications

I. Pre-existing Cardiac Disease

Congenital Heart Disease

Repaired Congenital Heart Disease

Pulmonary Hypertension

Rheumatic Heart Disease

II. Aortic Diseases

Aortic Stenosis

Marfan's Syndrome

III. Valvular Heart Disease

Mitral Stenosis

Mitral Regurgitation

Aortic Insufficiency

Aortic Stenosis

Regurgitant Valvular Lesions

IV. Arrhythmias

Arrhythmias

V. Cardiac diseases that may develop During Pregnancy

Peripartum Cardiomyopathy

Myocardial Infarction

Resources

Template:WikiDoc Sources

v t e Electrocardiography
Overview	History of the EKG • EKG interpretation basics • Normal sinus rhythm
EKG Complexes	P wave • QRS complex • ST Segment • T wave • T wave alternans • Tombstone T wave • U wave Osborn wave • H wave • K wave • Delta wave NSSTW changes
EKG Intervals	PR Interval • QRS Interval • ST Interval • QT Interval
Conduction System & Bradycardia	Cardiac pacemaker • SA node • AV node• Bundle of His • Purkinje fibers • Sinus bradycardia • First Degree AV Block • Second Degree AV Block • Complete or Third-Degree AV Block • Concealed conduction • AV Junctional Rhythms • LBBB • LAHB • LPHB • RBBB • Trifascicular block
Atrial Arrhythmias	Sinus tachycardia • Premature Atrial Contractions (PACs) • Ectopic Atrial Rhythm • Paroxysmal Atrial Tachycardia (PAT) • Paroxysmal Atrial Tachycardia (PAT) with Block • Multifocal Atrial Tachycardia (MAT) • Atrial Flutter • Atrial Fibrillation • Wandering atrial pacemaker
Ventricular Arrhythmias	Differential Diagnosis of Tachycardia with a Wide QRS Complex • Accelerated Idioventricular Rhythm • Ventricular Parasystole • Premature Ventricular Contractions (PVCs) • Ventricular tachycardia • Ventricular Fibrillation • Sudden cardiac death
EKG Abnormalities in Disease States	Hypertrophy & Dilatation • Right atrial enlargement • Left atrial enlargement • Biatrial enlargement • Left Ventricular Hypertrophy • Right Ventricular Hypertrophy • Biventricular Hypertrophy • Acute myocardial infarction • NSTEMI • STEMI • Tombstone ST elevation • Right ventricular myocardial infarction • Atrial infarction Pre-excitation Syndromes • Wolff-Parkinson-White Syndrome • Lown Ganong Levine Syndrome • Mahaim Type Preexcitation Cardiomyopathies • Arrhythmogenic Right Ventricular Dysplasia • Dilated Cardiomyopathy • Hypertrophic Cardiomyopathy Drug Effects on the EKG • Adenosine • β-blockers • Digitalis • Quinidine • Procainamide • Disopyramide • Lidocaine • Tocainide and Mexiletine • Phenytoin • Encainide, Flecainide and Propafenone • Amiodarone • Bretylium • Ca Channel Blockers • Phenothiazines • Tricyclic Antidepressants • Lithium Congenital Heart Disease • Dextrocardia • Atrial Septal Defect • Ventricular Septal Defect • Tetralogy of Fallot • Conjoined Twins or Siamese Twins • Congenital heart block Electrolyte Disturbances • Hyperkalemia • Hypokalemia • Hypercalcemia • Hypocalcemia • Nonspecific Changes Other Heart Diseases • Pericarditis • Myocarditis • Tamponade • Heart Transplantation • Sick Sinus Syndrome • Long QT Syndrome Inherited Disease • Brugada Syndrome Systemic Diseases • CNS Disease • Cardiac Tumors Heart Transplantation • EKG Changes in patient with Heart Transplantation Exogenous Effects • Hypothermia • Chest Trauma • Insect Bites • Electric Injuries
Technical Issues and Potential Errors in Interpretation	Artifacts • Lead Placement Errors • The EKG in a Patient with a Pacemaker • EKG in athletes

Cardiac disease in pregnancy

Contents

Overview

Pathophysiology

Epidemiology and Demographics

Risk Factors

Genetic Testing & Counselling

Diagnosis

Treatment

Antibiotic Prophylaxis

Antithrombotic agents

Resuscitation in Late Pregnancy

Cardiac Conditions Associated with Complications

I. Pre-existing Cardiac Disease

Congenital Heart Disease

Repaired Congenital Heart Disease

Pulmonary Hypertension

Rheumatic Heart Disease

II. Aortic Diseases

Aortic Stenosis

Marfan's Syndrome

III. Valvular Heart Disease

Mitral Stenosis

Mitral Regurgitation

Aortic Insufficiency

Aortic Stenosis

Regurgitant Valvular Lesions

IV. Arrhythmias

Arrhythmias

V. Cardiac diseases that may develop During Pregnancy

Peripartum Cardiomyopathy

Myocardial Infarction

Resources

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