Heart Disease in Pregnancy - part 5 potx

... fall in hemoglobin concentration ([Hb]) in pregnancy, arterial oxygen content remained the same as before pregnancy. There was a 25% increase in rest- ing ventilation and a fourfold increase in ... her tissues, including the placenta. Risk of PAVM growth In six of our cases in our first series, pregnancy- related PAVM growth or in- creased right-to-left shunt was noted, incl...

Ngày tải lên: 13/08/2014, 17:22

... changes in pregnancy 7 Gestation (week) Gestation (week) Plasma volume (mL) Red cell mass (mL) (a) (b) 3 750 350 0 3 250 3000 2 750 250 0 2 250 N-P 41220283638 N-P 41220283638 1 750 150 0 1 250 1000 Treatment No ... total protein with albu- min, representing roughly 55 % of this. A total protein excretion of over 300 mg is considered to be abnormal. 4 Women who develop pregnanc...

Ngày tải lên: 13/08/2014, 17:22

... in corrected tetralogy of Fallot. Heart 20 05; 91:801 5. 15 Stout K. Pregnancy in women with congenital heart disease: the importance of eval- uation and counselling. Heart 20 05; 91:713–14. 16 Beauchesne ... complex congenital heart disease are surviving into the reproductive age after surgery in infancy or childhood. 1–4 Congenital heart disease is not infrequently...

Ngày tải lên: 13/08/2014, 17:22

... rheumatic heart disease has not decreased in developing countries. Valvular heart disease is the second most frequent heart disease after congen- ital heart disease, during pregnancy, in western ... and uterine contraction results in an increase in preload. 10 Pregnancy- induced hemodynamic modifications are poorly tolerated in mi- tral stenosis because, in additio...

Ngày tải lên: 13/08/2014, 17:22

... Artificial heart valves. In: Heart Disease in Pregnancy. London: BMJ Publishing Group, 1997: pp 1 35 46. 32 Ginsberg JS, Hirsh J. Use of anti-thrombotic agents during pregnancy. Chest 1998;114 :52 4S–30S. 33 ... Anticoagulants in pregnancy. Br Heart J 19 95; 74:107–11. 27 Ginsberg JS, Hirsh J. Use of anticoagulants during pregnancy. Chest 1989; 95: 156 S–60S. 28 Ginsberg JS...

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 3000 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 myocard...

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

... Eclampsia Trial. Lancet 19 95; 3 45: 1 455 –63. 57 Lamming GD, Symonds EM, Rubin PC. Phaechromocytoma in pregnancy: still a cause of maternal death. Clin Exp Hypertens 1990;9 :57 –68. 58 Harper MA, Murnaghan ... successful in preventing recurrence. Continuing management Intravenous unfractionated heparin should be given, aiming for an adjusted partial thromboplastin time (aPPT) betwee...

Ngày tải lên: 13/08/2014, 17:22

... Thrombosis in pregnancy: maternal and foetal issues. Lancet 1999; 353 : 1 258 – 65. 17 Oakley C, ed. Acyanotic congenital heart disease. In: Heart Disease in Pregnancy. London: BMJ Publishing Group, ... aorta. Conclusion Heart disease in pregnancy is increasing because of the number of older primi- parous women, morbid obesity and the number of congenital heart pati...

Ngày tải lên: 13/08/2014, 17:22

... failure per 1000 insertions. 12 It is inserted into the upper non-dominant arm under local anes- thetic; training in insertion is necessary. Removal is easy but also needs training. The risks associated ... 2 .5 Based on multiple studies, collated by Nora et al. 23 Index 3 45 blood viscosity 244 blood volume 6, 71 increase in pregnancy 3, 7 post partum 15 and preload 6 and twin preg...

Ngày tải lên: 13/08/2014, 17:22