Hypertrophic cardiomyopathy management during pregnancy: Difference between revisions
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==Overview== | ==Overview== | ||
Women with hypertrophic cardiomyopathy should be managed by a skilled cardiovascular specialist and a high-risk obstetrician during pregnancy. | Women with hypertrophic cardiomyopathy should be managed by a skilled cardiovascular specialist and a high-risk obstetrician during pregnancy. Any activity, drug or circumstance that increases left ventricular outflow obstruction, reduced left ventricular filling, or increases left ventricular afterload should be avoided. | ||
==Activities That Increase Left Ventricular Outflow Tract Obstruction== | |||
The following activities increase left ventricular outflow tract obstruction and should be avoided: | |||
*Nausea and vomiting | |||
*Dehydration | |||
*Hypovolemia (i.e., use diuretics with caution) | |||
*Medications that reduce preload and left ventricular filling such as nitrates | |||
==Activities That Increase Afterload== | |||
The following activities increase left ventricular afterload should be avoided: | |||
*Intense isometric exercise | |||
==References== | ==References== | ||
Revision as of 01:11, 8 August 2011
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Hypertrophic Cardiomyopathy Microchapters |
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Differentiating Hypertrophic Cardiomyopathy from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Hypertrophic cardiomyopathy management during pregnancy On the Web |
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FDA on Hypertrophic cardiomyopathy management during pregnancy |
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CDC on Hypertrophic cardiomyopathy management during pregnancy |
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Hypertrophic cardiomyopathy management during pregnancy in the news |
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Blogs on Hypertrophic cardiomyopathy management during pregnancy |
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Directions to Hospitals Treating Hypertrophic cardiomyopathy |
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Risk calculators and risk factors for Hypertrophic cardiomyopathy management during pregnancy |
Editors-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Women with hypertrophic cardiomyopathy should be managed by a skilled cardiovascular specialist and a high-risk obstetrician during pregnancy. Any activity, drug or circumstance that increases left ventricular outflow obstruction, reduced left ventricular filling, or increases left ventricular afterload should be avoided.
Activities That Increase Left Ventricular Outflow Tract Obstruction
The following activities increase left ventricular outflow tract obstruction and should be avoided:
- Nausea and vomiting
- Dehydration
- Hypovolemia (i.e., use diuretics with caution)
- Medications that reduce preload and left ventricular filling such as nitrates
Activities That Increase Afterload
The following activities increase left ventricular afterload should be avoided:
- Intense isometric exercise