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Heart Disease

  • Vanita Suri
  • Pooja Sikka
Chapter

Abstract

Cardiac disease complicating pregnancy is seen in about 1–4% women. Due to effective treatment during childhood, the incidence of women with heart disease presenting during pregnancy is increasing. In developing countries like India, rheumatic heart disease still predominates, accounting for 60–80% of cardiac lesions in pregnancy. Congenital heart diseases are by far the commonest conditions in the west forming over 75% of heart diseases seen in pregnancy [1]. Pregnancy poses additional problem in women with underlying cardiac disease. A normal heart can adapt well to the hemodynamic alterations of pregnancy, whereas a diseased heart may not be able to do so and decompensate leading to heart failure. Ideally counseling and management of women of childbearing age with cardiac disease should start before pregnancy occurs. High-risk patients should be managed in specialized centers where multidisciplinary care is available. Diagnostic procedures and interventions should ideally be performed prior to pregnancy. Unfortunately in India, many women still are diagnosed to be having cardiac disease for the first time during pregnancy. This increases the morbidity and mortality associated with these disorders.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Vanita Suri
    • 1
  • Pooja Sikka
    • 1
  1. 1.Department of Obstetrics and GynecologyPGIMERChandigarhIndia

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