Cardiac disease in pregnancy history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
A history should be taken to assure that the patient does not have a condition that would place them at high risk during the pregnancy such as [[Marfan's syndrome]], [[Eisenmenger's syndrome]], a prior history of [[peripartum cardiomyopathy]] or pulmonary arterial hypertension. | A history should be taken to assure that the patient does not have a condition that would place them at high risk during the pregnancy such as [[Marfan's syndrome]], [[Eisenmenger's syndrome]], a prior history of [[peripartum cardiomyopathy]] or [[pulmonary arterial hypertension]]. | ||
==History== | ==History== | ||
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Secondary to [[IVC|inferior vena caval]] compression by the gravid uterus resulting in reduced [[venous return]] from the lower extremities, patients may even experience orthostatic [[lightheadedness]] and [[syncope]]. | Secondary to [[IVC|inferior vena caval]] compression by the gravid uterus resulting in reduced [[venous return]] from the lower extremities, patients may even experience orthostatic [[lightheadedness]] and [[syncope]]. | ||
[[Pedal edema]] is often observed during the last trimester and may lead to an erroneous diagnosis of [[Congestive heart failure history and symptoms|heart failure]]. | [[Pedal edema]] is often observed during the last trimester and may lead to an erroneous diagnosis of [[Congestive heart failure history and symptoms|heart failure]]. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
[[CME Category::Cardiology]] | |||
[[Category: | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Obstetrics]] | |||
[[Category:Cardiology board review]] | |||
Latest revision as of 20:48, 29 July 2020
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Cardiac disease in pregnancy Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]
Overview
A history should be taken to assure that the patient does not have a condition that would place them at high risk during the pregnancy such as Marfan's syndrome, Eisenmenger's syndrome, a prior history of peripartum cardiomyopathy or pulmonary arterial hypertension.
History
Major causes for pregnancy-related mortality include: hypertensive heart disease, congenital heart disease, marfan's syndrome and cardiomyopathy which can be distinguished by taking a careful personal and family history.
Symptoms
Common symptoms present during pregnancy include: fatigue, decreased exercise capacity, hyperventilation, dyspnea, tachycardia and palpitations.
Secondary to inferior vena caval compression by the gravid uterus resulting in reduced venous return from the lower extremities, patients may even experience orthostatic lightheadedness and syncope.
Pedal edema is often observed during the last trimester and may lead to an erroneous diagnosis of heart failure.
References