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| {{Cardiac disease in pregnancy}}
| | #REDIRECT [[Cardiac disease in pregnancy and valvular heart disease#Mitral Stenosis]] |
| {{CMG}}; {{AOEIC}} {{CZ}}
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| ==Overview==
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| * Most hemodynamically important [[valvular heart disease]] during pregnancy
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| * Physiologic changes result in increased [[heart rate]] and [[cardiac output]] with augmentation of diastolic gradient
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| * [[Atrial fibrillation]] can lead to rapid deterioration
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| * Volume shifts during delivery can result in [[pulmonary hypertension]] or [[pulmonary edema]]
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| ==Management of Mitral stenosis in Pregnancy==
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| * Restriction of physical activity and salt intake. Avoid supine position
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| * [[Beta-blockade]] to lengthen disatolic filling period
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| * [[Diuretics]] if necessary
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| * Consideration of invasive monitoring
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| * Replace blood losses during delivery carefully
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| * [[Mitral valvuloplasty|Percutaneous balloon mitral valvuloplasty]] can be performed during pregnancy if necessary (Class III,IV)
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| ==References==
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| {{Reflist|2}}
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| {{WikiDoc Help Menu}}
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| {{WikiDoc Sources}}
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| [[Category:Disease]]
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| [[Category:Cardiology]]
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| [[Category:Electrophysiology]]
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| [[Category:Emergency medicine]]
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