Maternal heart disease in pregnancy

Maternal heart disease in pregnancy - Exacerbation of...

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Maternal heart disease in pregnancy Maternal Heart Disease occurs in approximately 1 in every 7000 pregnancies, which may cause serious complications for the mother and foetus. Symptoms Most women with heart disease go on to have simple and uncomplicated pregnancies/deliveries. However, some mothers may present with signs and symptoms of cardiomyopathy ( symptoms of nocturnal dyspnoea, nocturnal cough and chest pain; signs of new murmur, elevated jugular venous pressure) or exacerbation of pre-existing congenital heart disease (giving symptoms of valvular dysfunction, cyanotic or cyanotic heart disease, etc.). Maternal heart conditions can also have adverse effect on the foetus, which results in an increased risk of: IUD/stillbirth IUGR Premature birth It is also important to note that babies born to women with congenital heart disease have a higher risk of congenital heart disease. Causes Maternal Heart disease can be caused by: Pre-existing congenital heart disease (e.g. ventricular septal defect, bicuspid aortic valve)
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Unformatted text preview: Exacerbation of underlying disease such as Marfan's syndrome (causing aortic dissection), or valvular disease (e.g. Rheumatic Disease, Aortic Stenosis, etc.). Infection: e.g., Myositis Heart Damage: Myocardial Infarction (incidence of 1 in 10000 deliveries) Note that cardiac disease is a worry in pregnancy due to the 30-50% increase in CO (cardiac output) associated with pregnancy. The causes most worrisome and associated with risk to the mother include: Low risk: ASD/VSD, pulmonary and tricuspid lesions. Moderate risk: MS, AS, coarctation of the aorta, cyanotic heart disease without pulmonary HTN and previous MI. High risk: Marfans syndrome, Eisenmengers syndrome (when an original left to right shunt reverses secondary to pulmonary hypertension to cause a right to left shunt), pulmonary HTN and cardiomegaly....
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This note was uploaded on 12/04/2011 for the course ANTHRO 2000 taught by Professor Monicaoyola during the Fall '10 term at Broward College.

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Maternal heart disease in pregnancy - Exacerbation of...

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