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Valvular heart disease in pregnancy
Valvular heart disease in pregnancy
- Source :
- Best Practice & Research Clinical Obstetrics & Gynaecology. 28:507-518
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- In women with valvular heart disease, pregnancy-associated cardiovascular changes can contribute to maternal, foetal and neonatal complications. Ideally, a woman with valvular heart disease should receive preconception assessment and counselling from a cardiologist with expertise in pregnancy. For women with moderate- and high-risk valve lesions, appropriate risk stratification and management during pregnancy will optimise outcomes. Pregnancy in women with high-risk lesions, such as severe aortic stenosis, severe mitral stenosis and those with mechanical valves, requires careful planning and coordination of antenatal care by a multidisciplinary team. The purpose of this overview is to describe the expected haemodynamic changes in pregnancy, review pregnancy risks for women with valvular heart disease and discuss strategies for management.
- Subjects :
- medicine.medical_specialty
Pregnancy Complications, Cardiovascular
Heart Valve Diseases
Hemodynamics
Multidisciplinary team
Mechanical valve
Pregnancy
Internal medicine
medicine
Humans
cardiovascular diseases
Intensive care medicine
Prosthetic valve
business.industry
valvular heart disease
Obstetrics and Gynecology
Prenatal Care
General Medicine
medicine.disease
Stenosis
Heart Valve Prosthesis
Risk stratification
cardiovascular system
Cardiology
Female
Preconception Care
business
Subjects
Details
- ISSN :
- 15216934
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Best Practice & Research Clinical Obstetrics & Gynaecology
- Accession number :
- edsair.doi.dedup.....bf5d036fb2c637f0f09b17b737ceb5c9
- Full Text :
- https://doi.org/10.1016/j.bpobgyn.2014.03.009