Heart Disease in Pregnancy - part 5 potx
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...
Heart Disease in Pregnancy - part 1 doc
... 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...
Heart Disease in Pregnancy - part 2 ppt
... 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...
Heart Disease in Pregnancy - part 3 pdf
... 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...
Heart Disease in Pregnancy - part 4 pot
... 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...
Heart Disease in Pregnancy - part 6 ppt
... 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...
Heart Disease in Pregnancy - part 7 doc
... 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...
Heart Disease in Pregnancy - part 8 pptx
... 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...
Heart Disease in Pregnancy - part 9 pps
... 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...
Heart Disease in Pregnancy - part 10 pps
... 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...
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