Pregnancy and Heart Disease: A Guide for Patients and Doctors

PREGNANCY AND HEART DISEASE Prof.S.Sundar’s Unit Dr.R.Ganesan PG Internal medicine

Incidince and changing pattern of heart disease ,[object Object],[object Object],[object Object]

Hemodynamics During Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemodynamics During Labor ,[object Object],[object Object],[object Object],[object Object]

Mode of delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criteria to diagnose cardiac disease during pregnancy ,[object Object],[object Object],[object Object],[object Object]

Risk index ,[object Object],[object Object],[object Object],[object Object]

Estimated risk of cardiac events Risk scor Cardiac risk 0 5% 1 27% >1 75%

Risk factors for HF in pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mortality associated specific cardiac disease ,[object Object],[object Object],[object Object],[object Object],[object Object]

Moderate risk of mortality [5-15%] ,[object Object],[object Object],[object Object],[object Object],[object Object]

Highrisk of mortality[25-50%] ,[object Object],[object Object],[object Object],[object Object]

Transthoracic Echocardiography ,[object Object],[object Object],[object Object]

Medical management ,[object Object],[object Object]

Surgical management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cardiopulmonary bypass technique ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

Cynotic heart disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tetralogy of Fallot ,[object Object],[object Object],[object Object],[object Object]

Ebstein anomaly ,[object Object],[object Object]

Rheumatic Heart Disease Mitral stenosis ↑ Heart rate ↑ CO Shorten the diastolic filling time Exaggerates the mitral gradient

Aortic Stenosis ,[object Object],[object Object],[object Object]

Severe Aortic Stenosis ,[object Object],[object Object],[object Object]

Pulmonary stenosis ,[object Object],[object Object]

Pulmonary Hypertension ,[object Object],[object Object],[object Object],[object Object]

Marfan Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]

Coronary Artery Disease ,[object Object],[object Object],[object Object],[object Object]

Cardiomyopathies ,[object Object],[object Object],[object Object],[object Object]

Peripartum Cardiomathy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Arrhythmias ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

ACA/AHA recommendations for Rx of SVT during pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ACA/AHA guide-line for management of AF during pregnancy ,[object Object],[object Object],[object Object]

Prosthetic Valves ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Unfractionated Heparin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Warfarin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

High Risk For Thrombosis ,[object Object],[object Object]

Low Risk For Thrombosis ,[object Object],[object Object],[object Object]

Anticoagulation therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anticoagulation therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]

SABE Prophylaxis during obstetric procedures ,[object Object],[object Object]

IUGR,oligohydramnios,renal failure abnormal bone ossification ACE-I Fetal embryopathy placental and fetal hemorrhage Warfarin Potential fetal side effects Drugs

Cardiovascular drugs ,[object Object],[object Object],[object Object],[object Object],[object Object]

Contraception ,[object Object],[object Object]

Oral Contraceptives ,[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object]

Pregnancy and Heart Disease: A Guide for Patients and Doctors

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Pregnancy and Heart Disease: A Guide for Patients and Doctors