Heart Disease in Pregnancy - part 8 pptx
Heart Disease in Pregnancy - part 8 pptx
... blood in the imme-
diate postpartum period.
5 ,8 10
Cardiac output rises 3–3.5 l/min during the sec-
ond stage and the immediate postpartum period.
6,9,11
Average blood loss for a
singleton vaginal ... stage.
In addition to establishing a management team, several general measures
should be instituted when managing all gravid women with heart disease (Table
19.2), including pain contro...
Heart Disease in Pregnancy - part 1 doc
... 8 12 16 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; ... Lachelin GC. Plasma noradrenaline and
adrenaline levels in normal pregnancy and in pregnancy- induced hypertension. Br J
Obstet Gynaecol 1 982 ;89 :1041–5.
32 Davey...
Heart Disease in Pregnancy - part 2 ppt
... 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
first during pregnancy, particularly ... offspring of patients with some common congeni-
tal heart defects. J Med Genet 1 981 ; 18: 8–16.
8 Singh H, Bolton PJ, Oakley CM. Pregnancy after surgical correction...
Heart Disease in Pregnancy - part 3 pdf
... decreased
in developing countries.
Valvular heart disease is the second most frequent heart disease after congen-
ital heart disease, during pregnancy, in western countries and the most frequent
in ... valve disease is indi-
cated, in particular in women with severe mitral stenosis.
• During pregnancy, particularly after the beginning of the second trimester,
reacting...
Heart Disease in Pregnancy - part 4 pot
... 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. Chest
19 98; 114:524S–30S.
33 ... subcutaneous heparin in pregnancy by
Ginsberg et al. is based on: heparin’s value in patients with angina and myocar-
dial infarction and a study of 100 pregnancies i...
Heart Disease in Pregnancy - part 5 potx
... 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, including the case ... during pregnancy as a result of the
accompanying hyperventilation.
12
In a further study in the Andes at 4300 m,
Sa
O
2
was 83 % in the non-pregnant state and 87 % in week 36 of...
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 myocar...
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 9 pps
... Thrombosis in pregnancy: maternal and foetal issues. Lancet 1999;353:
12 58 65.
17 Oakley C, ed. Acyanotic congenital heart disease. In: Heart Disease in Pregnancy.
London: BMJ Publishing Group, ... Guidelines. J Am Coll Cardiol
19 98; 32:1 486 – 588 .
18 Page RL. Treatment of arrhythmias in pregnancy. Am Heart J 1995;130 :87 1–6.
19 APPCR Panel and Scientific Roundtable....
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 ... 211
stenotic left-sided heart valve disease
80 8
stenotic valvular lesion 12
stenting 211
steroids 140, 300
stillbirth 18, 44, 45
Still’s disease 205
stress 3 08
echocardiograph...
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