Abstract
Physiologic changes that occur in normal pregnancy may cause signs and symptoms that will simulate heart disease even though no heart disease is present. To begin with, the normal pregnant patient tends to hyperventilate. This happens relatively early in pregnancy, and is believed to be related to elevated progesterone levels [4]. Most patients do not react to the hyperventilation, but some will be concerned and bothered. There are several ausculatory findings in the normal pregnant state that could lead a physician to suspect heart disease when, in fact, no heart disease is present.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Burwell, C. S., and Metcalfe, J. (1958). Heart Disease in Pregnancy. Physiology and Management. London: Churchill, pp. 11–12.
Hamilton, H. F. H. (1949). The cardiac output in normal pregnancy as determined by the Cournand right heart catheterization technique. J. Obstet. Gynaec. Brit. Emp. 56:548.
Hurst, J. W., Staton, J., and Hubbard, D. (1958). Precordial murmurs during pregnancy and lactation. New Engl. J. Med 259:515.
Hytten, F. E., and Leitch, I. (1964). The Physiology Of Human Pregnancy. Oxford: Blackwell, p. 102.
Lees, M. M., Scott, D. B., Kerr, M. G., and Taylor, S. H. (1967). The circulatory effects of recumbent postural change in late pregnancy. Clin. Sci. 52:453.
Potter, R. R. (1964). Water retention due to oxytocin. Obstet. Gynec. 23.
Turner, A. F. (in press). The chest radiograph in pregnancy. Clin. Obstet. Gynec.
Ueland, K., Novy, M. J., Peterson, E. N., and Metcalfe. (1969). Maternal cardiovascular dynamics. IV. The influence of gestational age on the maternal cardiovascular response to posture and exercise. Am. J. Obstet. Gynec. 104:856.
Whalley, P. J., and Pritchard, J. A. (1963). Oxytocin and water intoxication. J. Am. Med. Assoc. 186.
Zitnik, R. S., Brandenburg, R. O., Sheldon, R., and Wallace, R. B. (1969). Pregnancy and open-heart surgery. Cardiovasc. Surg. 1968; Suppl. I, Circulation 39/40.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1978 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Manning, P.R. (1978). Avoiding Emergencies in the Pregnant Patient with Heart Disease. In: Critical Care Medicine Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-9932-5_22
Download citation
DOI: https://doi.org/10.1007/978-1-4612-9932-5_22
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-9934-9
Online ISBN: 978-1-4612-9932-5
eBook Packages: Springer Book Archive