Heart Murmurs in Pregnancy: A Phonocardiographic Study of their Development, Progression and Regression

Goldberg, Leonard M.; Uhland, Hugo

doi:10.1378/chest.52.3.381

Cited by 8 publications

(2 citation statements)

References 6 publications

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“…Reports in the literature indicate that systolic murmurs may occur in 6-10 ?& of pregnant women (Goldberg and Vhland, 1967) and may be accompanied by physiological cardiovascular changes which result in symptoms and clinical signs which can be misinterpreted as evidence for maternal heart disease. The cause of these murmurs in pregnancy in the absence of pathology is speculative, but is probably related to the progressive increase in total blood volume and cardiac output (Veland, 1977).…”

Section: Introductionmentioning

confidence: 99%

Systolic murmurs in pregnancy: Value of echocardiographic assessment

Northcote

Knight

Ballantyne

1985

Clinical Cardiology

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Summary:A systolic murmur discovered in antenatal care is the most common reason for cardiological assessment during pregnancy. We have assessed the value of clinical and echocardiographic assessment in 50 consecutive patients who were referred to our cardiac clinic following the discovery of a cardiac murmur at an antenatal clinic. Most of the murmurs occurred at 10-12 weeks gestation; 46 subjects had cardiac murmurs confirmed at the cardiac clinic, of whom 16 gave a history suggestive of a previous cardiovascular disorder. Of the 16 patients, 13 had been found to have a murmur earlier in life which was thought to be of no clinical significance. Complications during pregnancy were infrequent, The most frequent murmur discovered was a soft midsystolic murmur heard with greatest intensity at the left sternal edge. The results of electrocardiography and echocardiography were not helpful in assisting with the diagnosis or substantially altering antenatal management in these patients. We do not feel that echocardiography has an important role in the assessment of systolic murmurs in pregnancy in the absence of other clinical or ECG abnormalities.

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Section: Introductionmentioning

confidence: 99%

Systolic murmurs in pregnancy: Value of echocardiographic assessment

Northcote

Knight

Ballantyne

1985

Clinical Cardiology

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“…115 Pathological murmurs accompanying organic heart disease may either increase in intensity or disappear during pregnancy. 114 The growing uterus elevates the diaphragm, and the maternal heart is displaced upward and rotated forward. Chest radiographs will show an increased A-P diameter and cardiothoracic ratio, due to the more horizontal position of the heart.…”

Section: Signs Of Physiological Haemodynamic Adaptationmentioning

confidence: 99%