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Valvular heart disease in pregnancy

Valvular heart disease in pregnancy

Authors :
Jacob A. Udell
Rachel M. Wald
Samuel C. Siu
Candice K. Silversides
Jack M. Colman
Jonathan Windram
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.

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