Advertisement

Cardiac disease in pregnancy

  • R. Alexander
  • T. Thomas
Conference paper

Abstract

Death from cardiac disease is now as common as from thromboembolism during or after pregnancy. In the last published triennial report from the United Kingdom there were 35 deaths from 1997 to 1999 (Table 1) [1]. This compared with 39 deaths in 1994–1996. The overall pattern has not changed significantly since 1991–1994 with about 30% of deaths being due to congenital heart disease, 15% to ischaemic heart disease, and 56% due to other acquired heart disease, particularly cardiomyopathy and myocarditis.

Keywords

Pulmonary Hypertension Congenital Heart Disease Cardiac Disease Aortic Stenosis Ischaemic Heart Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    National Institute of Clinical Excellence, Scottish Executive Health Department, Department of Health, Social Services and Public Safety: Northern heland HMSO (2001) The Confidential Enquuies into Maternal Deaths in United Kingdom 1997–1999, pp 153–164Google Scholar
  2. 2.
    Kerr MG, Scott DB, Samuel E (1964) Studies of the inferior vena cava in late pregnancy. B M 1 1:532–533Google Scholar
  3. 3.
    Lees MM, Scott DB, Kerr MG et al (1967) The circulatory effects of recumbent postural change in late pregnancy. Clin Sci (Colch) 32:453–465Google Scholar
  4. 4.
    Abitbol MM (1977) Aortic compression and uterine blood flow during pregnancy. Obstet Gynecol 50:562–570PubMedGoogle Scholar
  5. 5.
    Kinsella SM, Whitwam JG, Spencer JAE (1990) Aortic compression by the uterus: identification with the Finapres digital arterial pressure instrument. Br J Obstet Gynaecol 97:700–705PubMedCrossRefGoogle Scholar
  6. 6.
    Busch RL (1992) Cardiac disease. In: Ostheimer GW (ed) Manual of obstetric anaesthesia, 2nd edn. Churchhill Livingstone, New York, pp 276–291Google Scholar
  7. 7.
    Tan J, Swiet M de (1998) Prevalence of heart disease diagnosed de novo in pregnancy in a West London population. Br J Obstet Gynaecol 105:1185–1188PubMedCrossRefGoogle Scholar
  8. 8.
    Goldfrank LR, Hoffman R (1991) The cardiovascular effects of cocaine. Ann Emerg Med 20:165–175PubMedCrossRefGoogle Scholar
  9. 9.
    Nolan TE, Hankins GDV (1989) Myocardial infarction in pregnancy. Clin Obstet Gynecol 32:68–75PubMedCrossRefGoogle Scholar
  10. 10.
    Jewett J (1978) Two dissecting coranary artery aneurysms post partum. N Engl J Med 298:1255–1256PubMedCrossRefGoogle Scholar
  11. 11.
    Visser AA, Coetzee EJ, Grobler CJF, Cronje HS (1996) Cardiac disease. In: Cronje HS, Grobler CJF, Visser AA (eds) Obstetrics in southern Africa. J.L. van Schaik, Pretoria, p 229Google Scholar
  12. 12.
    Szekely P, Snaith L (1974) Obstetric care and the fetus in rheumatic heart disease. In: Szekely P, Snaith L (eds) Heart disease and pregnancy. Churchill Livingstone, Edinburgh, p 137Google Scholar
  13. 13.
    Brighouse D (1998) Anaesthesia for caesarean section in patients with aortic stenosis: the case for regional anaesthesia. Anaesthesia 53:107–109PubMedCrossRefGoogle Scholar
  14. 14.
    Ginsberg JS, Barron WM (1994) Pregnancy and prosthetic heart valves. Lancet 344:1170–1172PubMedCrossRefGoogle Scholar
  15. 15.
    Roelants F, De Franceschi E, Veyckemans F et al (2001) Patient-controlled intravenous analgesia using remifentanil in the parturient. Can J Anaesth 48:175–178PubMedCrossRefGoogle Scholar
  16. 16.
    Weeks S, Smith JB (1991) Obstetric anaesthesia in patients with primary pulmonary hypertension. Can J Anaesth 38:814–816PubMedCrossRefGoogle Scholar
  17. 17.
    Shah DM, Sunderji SG (1985) Hypertrophic cardiomyopathy and pregnancy: report of a maternal mortahty and review of the literature. Obstet Gynaecol Surv 40:444–448CrossRefGoogle Scholar
  18. 18.
    Deal K, Wooley CF (1973) Coarctation of the aorta and pregnancy. Ann Intern Med 78:706–710PubMedCrossRefGoogle Scholar
  19. 19.
    Morini A, Spina V, Aleandri V et al (1998) Pregnancy after heart transplant: update and case report. Hum Reprod 13:749–757PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2003

Authors and Affiliations

  • R. Alexander
  • T. Thomas

There are no affiliations available

Personalised recommendations