Cardiac Disease and Pregnancy

Gei, Alfredo F.; Hankins, Gary D.V.

doi:10.1016/s0889-8545(05)70214-x

Cited by 59 publications

(39 citation statements)

References 128 publications

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“…Congenital heart disease (ASD + VSD) was second most common. 6 Half of the cases were surgically corrected during childhood period. Majority of heart disease patients were in the NYHA class I & II.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of Complication of Cardiac Disease in Maternity in a Low Resource Setting and Comparison With Carpreg Scoring

Dharmalingam¹,

Subramanian²,

Velusamy³

2017

jemds

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BACKGROUNDNowadays heart disease is an important risk factor for maternal mortality. Aims of this study are to know the incidence of heart disease among pregnant women during the study period; to study the various aetiological types of heart disease and also classify the heart disease based on the WHO risk classification; to know the factors affecting maternal and foetal outcome in heart disease complicating pregnancy and also predict the patient outcome on CARPREG scoring system.

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Section: Discussionmentioning

confidence: 99%

Spectrum of Complication of Cardiac Disease in Maternity in a Low Resource Setting and Comparison With Carpreg Scoring

Dharmalingam¹,

Subramanian²,

Velusamy³

2017

jemds

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“…According to the collected data, in pregnant women with tetralogy of Fallot, single dose spinal anesthesia is not recommended and it is stated that epidural anesthesia or combined spinoepidural anesthesia is more beneficial even in pregnant women with the most severe cardiac diseases. [1,5,6] As this patient will not be in a stable hemodynamia, we preferred epidural anaesthesia instead of a single dose spinal anaesthesia. For pregnant women with cardiac diseases selection of safe agents and doses are also important other than the selection of a safe neuroaxial block.…”

Section: Discussionmentioning

confidence: 99%

“…The changes in systemic arterial resistance, hypovolemia, and the alterations in blood pressure determines the anaesthesia technique to be used. [1][2][3] In this case report, the succesful application of epidural anaesthesia in a pregnant woman with tetralogy of Fallot has been discussed. …”

Section: Introductionmentioning

confidence: 99%

The Application Of Epidural anesthesıa in Pregnant Woman With Uncorrected Tetralogy Of Fallot: A Case report

Solmaz¹

2015

Agri

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OCTOBER 2015215 ÖzetFallot tetralojisi en sık görülen siyanotik doğumsal kalp hastalığıdır. Bu hastalarda doğum sonrası meydana gelen ani hemodinamik değişiklikler ciddi, yaşamı tehdit eden multiorgan komplikasyonlarına yol açar. Bu yüzden anestezi seçimi zordur. Otuz üç haftalık düzeltilmemiş Fallot tetralojili gebe sezeryan operasyonuna alındı. Sorunsuz bir şekilde epidural anestezi uygulandı. Hastanın vital bulguları ve genel durumu stabil seyretti ve ameliyat sonrası yoğun bakımda dört gün takipten sonra kadın doğum servisine devredildi. Fallot tetralojili gebe hastada epidural anestezi uygulamasında bölünmüş ve artan dozlarda levobupivakain uygulamasının güvenli olduğu kanısındayız. Bununla birlikte, bizim bu verilerimiz klinik uygulama miktarının artırılması ile daha da güçleneceğini düşünüyoruz.Anahtar sözcükler: Sezeryan; Fallot tetralojisi; anestezi epidural. SummaryTetralogy of Fallot is the most common cyanotic congenital cardiac disease. The hemodynamic changes which are present immediately after abdominal delivery may be resulted with serious, life-threatening multiorgan complications. Therefore the choice of anesthesia is very difficult. We describe the case of pregnant, 33 weeks gestation, with uncorrected tetralogy of Fallot who underwent caesarian section. The epidural anesthesia was performed uneventfully. After having stabile vital signs and a good general condition patient was followed up at the intensive care unit for 4 days. She was transferred to the obstetric service. We think that application of epidural anaesthesia with fragmented and increasing doses of slow levobupivacain in pregnant women with tetralogy of Fallot is safe. Nonetheless, this data of ours will grow stronger with the increase of the clinical application amount.

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“…Various other studies have reported an incidence of 16 -20%. 13 The JCS joint working group recommended cesarean section only for patients with cardiac dysfunction, patient at risk of hemodynamic instability, pulmonary hypertension, uncontrolled arrhythmia, mechanical valve prosthesis, and patients with cyanosis. 14 Regional anesthesia, either epidural or spinal was safe in cardiac patients presenting for caesarean section.…”

Section: Fig 2: Prevalence Of Congenital Heart Diseasementioning

confidence: 99%

“…6 In developing countries with a higher prevalence of rheumatic fever it may complicate as many as 5.9% ofpregnancies. 13 In the developed countries however, it is the women who have undergone surgical correction for congenital heart disease are seen in greater numbers. The number of women with congenital heart disease who delivered has increased from 6.4 to 9 per 10000 deliveries from 2000 to 2010.…”

Section: Introductionmentioning

confidence: 99%

Cardiac disease in pregnancy â€“ A retrospective study

2020

IJOGR

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Objectives: To evaluate the maternal and perinatal outcomes in patients with cardiac disease in pregnancy. Materials and Methods: Medical records of 185 women with heart disease who delivered at ≥28 weeks of gestation from January 2011 to December 2015 at JSS Hospital, Mysuru, were studied. Results: The prevalence of heart disease in pregnancy was 1.76%. There were 77 (41.6%) women with congenital heart disease and 72 (38.9%) with rheumatic heart disease. 61.6% of the women were from rural background, and 38.4% were from the urban areas. Isolated mitral stenosis was the most common defect in those with rheumatic heart disease; and atrial septal defect was the most common congenital lesion seen. 80% of women remained NYHA class I throughout pregnancy. 53 women who underwent corrective procedures prior to, or during pregnancy had a good outcome. The maternal mortality rate was 1.4%. 44 % of women were primigravidas. The incidence of pre term labor was 15%.Vaginal delivery was preferred, and the second stage of labor was cut short with either outlet forceps or the vaccum cup. LSCS under regional anesthesia for obstetric indications was well tolerated. 31% of newborns were of low birth weight (<2.5 kg). Conclusions: Cardiac disease is an important cause of maternal and perinatal morbidity and mortality. Patients with NYHA class I/II had a better maternal and fetal outcome than those with NYHA class III/IV. Surgical correction of the cardiac lesion prior to pregnancy was associated with better pregnancy outcome.

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Cardiac Disease and Pregnancy

Cited by 59 publications

References 128 publications

Spectrum of Complication of Cardiac Disease in Maternity in a Low Resource Setting and Comparison With Carpreg Scoring

Spectrum of Complication of Cardiac Disease in Maternity in a Low Resource Setting and Comparison With Carpreg Scoring

The Application Of Epidural anesthesıa in Pregnant Woman With Uncorrected Tetralogy Of Fallot: A Case report

Cardiac disease in pregnancy â€“ A retrospective study

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