Heart Disease in Pregnancy - part 10 pps

... one failure per 100 0 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 ... skilled anesthetist in attendance in case of complications. Perforation of the uterus when a device is inserted is rare, occurring in about 1 in 100 0 insertions. A copper-bearing de...

Ngày tải lên: 13/08/2014, 17:22

... anom- alies. A dose of 200 rad will produce a 100 % incidence of congenital abnormal- ities, whereas a dose of 10 rad results in a 1% increase in malformations over a baseline of 5 10% . During ... Thrombosis in pregnancy: maternal and foetal issues. Lancet 1999;353: 1258–65. 17 Oakley C, ed. Acyanotic congenital heart disease. In: Heart Disease in Pregnancy. London: BM...

Ngày tải lên: 13/08/2014, 17:22

... variation into the cardiovascular examination that may mimic heart disease. The palms flush, the extremities are warm, the soft Cardiovascular examination in pregnancy 19 Heart Disease in Pregnancy in ... Lachelin GC. Plasma noradrenaline and adrenaline levels in normal pregnancy and in pregnancy- induced hypertension. Br J Obstet Gynaecol 1982;89 :104 1–5. 32 Davey DA...

Ngày tải lên: 13/08/2014, 17:22

... 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 ... dis- crepancies in risks depend on many factors, including ascertainment bias, environmental factors and how vigorously congenital heart disease in the off- spring...

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 addit...

Ngày tải lên: 13/08/2014, 17:22

... 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 in 77 women. 9,24 In 98 of 100 pregnancies, ... 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...

Ngày tải lên: 13/08/2014, 17:22

... 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 ... breathing The increase in minute ventilation that begins early in pregnancy is greater than the increased metabolic demands require. Increased progesterone levels are the main factor...

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 ... encountered. Incidence and prevalence of arrhythmia during pregnancy The sinus rate increases by about 10 beats/minute during pregnancy, and sinus tachycardia gre...

Ngày tải lên: 13/08/2014, 17:22

... 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...

Ngày tải lên: 13/08/2014, 17:22