Cardiac disease in pregnancy and aortic stenosis

Cardiac disease in pregnancy Microchapters
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Overview
Pathophysiology
Epidemiology and Demographics
Risk Factors
Diagnosis
History and Symptoms
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Catheterization: Pulmonary artery catheterization Cardiac catheterization Cardiac Ablation
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Cardiovascular Drugs in Pregnancy
Labor and delivery
Resuscitation in Late Pregnancy
Contraindications to pregnancy
Special Scenarios: I. Pre-existing Cardiac Disease: Congenital Heart Disease Repaired Congenital Heart Disease Pulmonary Hypertension Rheumatic Heart Disease Connective Tissue Disorders II. Valvular Heart Disease: Mitral Stenosis Mitral Regurgitation Aortic Insufficiency Aortic Stenosis Mechanical Prosthetic Valves Tissue Prosthetic Valves III. Cardiomyopathy: Dilated Cardiomyopathy Hypertrophic Cardiomyopathy Peripartum Cardiomyopathy IV. Cardiac diseases that may develop During Pregnancy: Arrhythmias Acute Myocardial Infarction Hypertension
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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]

Overview

• Most commonly bicuspid aortic valve
• Fixed cardiac output in response to stress
• Patients with mild to moderate severity do very well
• Severe cases have maternal mortality up to 17% and fetal mortality up to 32%
• Critical cases need surgery / valvuloplasty
• Any reduction in preload can lead to cardiac / cerebral ischemia and compromised uterine flow

References

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