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Die Patientin mit Herzerkrankung

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Perikonzeptionelle Frauenheilkunde
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Zusammenfassung

Bei ungefähr 0,2–4 % aller Schwangerschaften in den Industrienationen muss mit begleitenden kardiovaskulären Erkrankungen gerechnet werden (Regitz-Zagrosek et al. 2011a,b). Schwangerschaften mit begleitender Herzerkrankung sind Risikoschwangerschaften. Basierend auf den wesentlichen 3 Prinzipien der präkonzeptionellen Betreuung – Risikoerkennung, Gesundheitsberatung, Interventionen – sollten kardiovaskuläre Erkrankungen durch eine ausführliche Anamnese und körperliche Untersuchung frühzeitig und vor Beginn einer Schwangerschaft erkannt werden (Tab. 13.1).

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Literatur

  • Balint OH, Siu SC, Mason J, Grewal J, Wald R, Oechslin EN, Kovacs B, Sermer M, Colman JM, Silversides CK (2010) Cardiac outcomes after pregnancy in women with congenital heart disease. Heart 96 (20): 1656–1661

    Article  PubMed  Google Scholar 

  • Beckmann BM, Pfeufer A, Kääb S (2011) Inherited cardiac arrhythmias: diagnosis, treatment, and prevention. Dtsch Arztebl Int 108 (37): 623–633

    PubMed  Google Scholar 

  • Berruezo A, Díez GR, Berne P, Esteban M, Mont L, Brugada J (2007) Low exposure radiation with conventional guided radiofrequency catheter ablation in pregnant women. Pacing Clin Electrophysiol 30 (10): 1299–1302

    Article  PubMed  Google Scholar 

  • Bongiorni MG, Di Cori A, Soldati E, Zucchelli G, Segreti L, Solarino G, De Lucia R, Marzilli M (2008) Radiofrequency catheter ablation of atrioventricular nodal reciprocating tachycardia using intracardiac echocardiography in pregnancy. Europace 10 (8): 1018–1021

    Article  PubMed  Google Scholar 

  • Braverman AC, Bromley BS, Rutherford JD (1991) New onset ventricular tachycardia during pregnancy. Int J Cardiol 33 (3): 409–412

    Article  PubMed  CAS  Google Scholar 

  • Brodsky M, Doria R, Allen B, Sato D, Thomas G, Sada M (1992) New-onset ventricular tachycardia during pregnancy. Am Heart J 123 (4 Pt 1): 933–941

    Article  PubMed  CAS  Google Scholar 

  • Camm AJ et al. (2010) Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J 31 (19): 2369–2429

    Article  PubMed  Google Scholar 

  • Facchini M, Bauersfeld U, Fasnacht M, Candinas R (2000) Maternal cardiac arrhythmias in pregnancy. Schweiz Med Wochenschr 130 (51–52): 1962–1969

    PubMed  CAS  Google Scholar 

  • Ferrero S, Colombo BM, Ragni N (2004) Maternal arrhythmias during pregnancy. Arch Gynecol Obstet 269 (4): 244–253

    Article  PubMed  Google Scholar 

  • Friedrich E, Hameed AB (2010) Fluctuations in anti-factor Xa levels with therapeutic enoxaparin anticoagulation in pregnancy. J Perinatol 30 (4): 253–257

    Article  PubMed  CAS  Google Scholar 

  • Habib G, Hoen B, Tornos P et al. (2009) Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Eur Heart J 30: 2369–2413

    Article  PubMed  Google Scholar 

  • Kaleschke G, Baumgartner H (2011) Pregnancy in congenital and valvular heart disease. Heart 97 (21): 1803–1809

    Article  PubMed  Google Scholar 

  • Lee SH, Chen SA, Wu TJ, Chiang CE, Cheng CC, Tai CT, Chiou CW, Ueng KC, Chang MS (1995) Effects of pregnancy on first onset and symptoms of paroxysmal supraventricular tachycardia. Am J Cardiol 76 (10): 675–678

    Article  PubMed  CAS  Google Scholar 

  • Mitani GM, Steinberg I, Lien EJ, Harrison EC, Elkayam U (1987) The pharmacokinetics of antiarrhythmic agents in pregnancy and lactation. Clin Pharmacokinet 12 (4): 253–291

    Article  PubMed  CAS  Google Scholar 

  • Murphy EA, Pyeritz RE (1991) Assessment of genetic risk in congenital heart disease. J Am Coll Cardiol 18 (2): 338–340

    Article  PubMed  CAS  Google Scholar 

  • Natale A, Davidson T, Geiger MJ, Newby K (1997) Implantable cardioverter-defibrillators and pregnancy: a safe combination? Circulation 96 (9): 2808–2812

    Article  PubMed  CAS  Google Scholar 

  • Oakley C et al. (2003) Expert consensus document on management of cardiovascular diseases during pregnancy. Eur Heart J 24: 761–781

    Article  Google Scholar 

  • Page RL (1995) Treatment of arrhythmias during pregnancy. Am Heart J 130 (4): 871–876

    Article  PubMed  CAS  Google Scholar 

  • Page RL, Hamdan MH, Joglar JA (2002) Arrhythmias occurring during pregnancy. Card Electrophysiol Rev 6 (1–2): 136–139

    Article  PubMed  Google Scholar 

  • Presbiterio P et al. (2006) Pregnancy and heart disease. In: Camm J, Lüscher TF, Serruys PW (eds) ESC Textbook of cardiovascular medicine. Oxford Carlton, Massachusetts: Blackwell, pp. 607–624

    Google Scholar 

  • Regitz-Zagrosek V, Gohlke-Bärwolf C, Geibel-Zehender A, Haass M, Kaemmerer H, Kruck I, Nienaber C (2008) Heart diseases in pregnancy. Clin Res Cardiol 97: 630–665

    Article  PubMed  Google Scholar 

  • Regitz-Zagrosek V, Seeland U, Geibel-Zehender A, Gohlke-Bärwolf C, Kruck I, Schaefer C (2011a) Cardiovascular diseases in pregnancy. Dtsch Arztebl Int 108 (16): 267–273

    Google Scholar 

  • Regitz-Zagrosek V et al. (2011b) Endorsed by the European Society of Gynecology (ESG), the Association for European Paediatric Cardiology (AEPC), and the German Society for Gender Medicine (DGesGM) ESC Guidelines on the management of cardiovascular diseases during pregnancy: The Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 32 (24): 3147–3197

    Article  Google Scholar 

  • Shotan A, Ostrzega E, Mehra A, Johnson AV, Elkayam U (1997) Incidence of arrhythmias in normal pregnancy and in relation to palpitations, dizziness, and syncope. Am J Cardiol 79: 1061–1064

    Article  PubMed  CAS  Google Scholar 

  • Siu SC, Sermer M, Colman JM, Alvarez AN et al. (2001) Cardiac Disease in Pregnancy (CARPREG) Investigators. Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 104 (5): 515–521

    Article  PubMed  CAS  Google Scholar 

  • Somerville J (1992) The problem – an overview. In: Hess J, Sutherland GR (eds) Congenital heart disease in adolescents and adults. Dordrecht: Kluwer, pp. 1–13

    Chapter  Google Scholar 

  • Sullivan JM, Ramanathan KB (1985) Management of medical problems in pregnancy–severe cardiac disease. N Engl J Med 313 (5): 304–309

    Article  PubMed  CAS  Google Scholar 

  • Thorne SA (2004) Pregnancy in heart disease. Heart 90:450–456

    Article  PubMed  CAS  Google Scholar 

  • Welch KK, Brown SA (2000) The role of genetic counseling in the management of prenatally detected congenital heart defects. Semin Perinatol 24 (5): 373–379

    Article  PubMed  CAS  Google Scholar 

  • Westhoff-Bleck M, Hilfiker-Kleiner D, Günter HH, Schieffer E, Drexler H (2008) Management of heart diseases in pregnancy: rheumatic and congenital heart disease, myocardial infarction and post partum cardiomyopathy. Internist (Berl) 49 (7): 805–810

    Article  CAS  Google Scholar 

  • Yap SC, Drenthen W, Pieper PG et al. (2008) Risk of complications during pregnancy in women with congenital aortic stenosis. Int J Cardiol 126: 240–246

    Article  PubMed  Google Scholar 

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Michels, G., Erdmann, E. (2014). Die Patientin mit Herzerkrankung. In: Gnoth, C., Mallmann, P. (eds) Perikonzeptionelle Frauenheilkunde. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38023-5_13

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  • DOI: https://doi.org/10.1007/978-3-642-38023-5_13

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