Heart Disease in Pregnancy - part 3 pdf

... Euro Heart Survey on valvular heart disease. Eur Heart J 20 03; 24:1 231 – 43. 8 Hunter S, Robson SC. Adaptation of the maternal heart in pregnancy. BMJ 1992;68:540 3. Rheumatic heart disease 93 prolapse, ... heart disease is the second most frequent heart disease after congen- ital heart disease, during pregnancy, in western countries and the most frequent i...

Ngày tải lên: 13/08/2014, 17:22

... medi- ated by its 3 ␣-hydroxylated metabolite, 3- -hydroxy- 5- - pregnan-20-one or allopregnanolone (AP) (37 ,38 ). Allo- pregnanolone and the 3 ,5␣-hydroxylated natural metabolite of the mineralocorticoid ... PRODUCT Lesch-Nyhan syndrome 30 8000 X Hypoxanthine-guanine phosphoribosyl- transferase Torsion-dystonia 3 with parkinsonism, 31 4250 Xq12-q 13. 1 Filipino type Waisman ea...

Ngày tải lên: 10/08/2014, 00:20

... 20 24 28 32 36 38 PN P-P 5 8 12 16 20 24 28 32 36 38 PN 90 80 70 60 90 85 80 75 70 Figure 2.2 Changes in cardiac output, stroke volume and heart rate during pregnancy. P-P, prior to pregnancy; ... 20–24 Weeks 30 34 Weeks 36 –40 Puerperium Control LVd (mm) 41.1 ± 3. 1 42.7 ± 2.2 43. 0 ± 1.7 43. 6 ± 2.5 41.8 ± 1.8 40.1 ± 3. 0 LA (mm) 29.6 ± 2.1 31 .5 ± 2.4 33 .1 ± 2.4 32 .8 ±...

Ngày tải lên: 13/08/2014, 17:22

... reported congenital heart disease in 3% of infants born to pa- tients with corrected coarctation. 30 A higher incidence of congenital heart dis- ease has been reported in the infants of mothers ... complex congenital heart disease are surviving into the reproductive age after surgery in infancy or childhood. 1–4 Congenital heart disease is not infrequently discovered fir...

Ngày tải lên: 13/08/2014, 17:22

... Chest 2001;119:122S 31 S 31 Oakley C, ed. Artificial heart valves. In: Heart Disease in Pregnancy. London: BMJ Publishing Group, 1997: pp 135 –46. 32 Ginsberg JS, Hirsh J. Use of anti-thrombotic agents during pregnancy. ... with valvular heart disease. Working Group Report on be- half of the Working Group on Valvular Heart Disease. Eur Heart J 2002; 23: 12 53 66. 19 Enriq...

Ngày tải lên: 13/08/2014, 17:22

... m, Sa O 2 was 83% in the non-pregnant state and 87% in week 36 of pregnancy. 13 In spite of a fall in hemoglobin concentration ([Hb]) in pregnancy, arterial oxygen content remained the same as before pregnancy. ... 92% in the non-pregnant state (normal 97–98%) in 33 women, but increased to 94% during pregnancy as a result of the accompanying hyperventilation. 12 In a...

Ngày tải lên: 13/08/2014, 17:22

... normally common in late Peripartum and other cardiomyopathic pericardial diseases 189 A consensus opinion from the workshop in 1997 was of an incidence in be- tween 1 in 30 00 and 1 in 4000 in the USA 7,19 which ... suspected of playing a part in initiating both the in- flammatory process in dilated cardiomyopathy and an autoimmune process against exposed or damaged myoca...

Ngày tải lên: 13/08/2014, 17:22

... or progress to occlude the vein. In pregnancy most venous thrombi are found in the left femoral veins, but some start in the pelvic veins or, in heart disease, sometimes in the right heart chambers. Most ... arrhythmia during pregnancy include: • Resting 12-lead ECG • ECG recorded during tachycardia, 12-lead if at all possible • Echocardiogram • Thyroid function tests. H...

Ngày tải lên: 13/08/2014, 17:22

... contracting uterus autotransfuses 30 0–500 ml/contraction in labour and 500–1000 ml of total blood in the imme- diate postpartum period. 5,8–10 Cardiac output rises 3 3. 5 l/min during the sec- ond ... embolism. Eur Heart J 20 03; 24: 36 6–76. 32 Nijkeuter M, Geleijns J, de Roos A, Meinders AE, Huisman MV. Diagnosing pul- monary embolism in pregnancy: rationalising fetal radiatio...

Ngày tải lên: 13/08/2014, 17:22

... congenital heart disease. In: Heart Disease in Pregnancy. London: BMJ Publishing Group, 1997: pp 19–51. 18 Presbitero P, Somerville J, Stone S et al. Pregnancy in cyanotic congenital heart dis- ease. ... good outcome. 33 A combined spinal–epidural technique allows for a more controlled spinal injection with lower volumes. Intrathecal narcotics are help- ful in providing...

Ngày tải lên: 13/08/2014, 17:22