Document Detail

Cardiac disease in pregnancy.
MedLine Citation:
PMID:  18568175     Owner:  NLM     Status:  MEDLINE    
This study was a retrospective review of patient charts of a relatively large number of patients with cardiac disease in pregnancy in a developing country. Ninety-five patients were evaluated; the majority (n = 36) were in the age group 21-25 years. Rheumatic heart disease was the commonest aetiology; eight women required balloon mitral valvuloplasty and one had a valve replacement at 32 weeks' gestation. There were no maternal deaths but morbidity was high; 13 patients were admitted in cardiac failure, nine had atrial fibrillation and three required intensive-care management. There were 86 live births of the 97 deliveries. Cardiac disease in pregnancy is associated with high maternal morbidity and adverse foetal outcomes; this was related to late presentation and problems with anticoagulation. Clinical assessment remains a key factor in timeous referral and appropriate investigations.
T Nqayana; J Moodley; D P Naidoo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  19     ISSN:  1995-1892     ISO Abbreviation:  -     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-06-23     Completed Date:  2009-04-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  145-51     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
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MeSH Terms
Anticoagulants / therapeutic use
Atrial Fibrillation / epidemiology
Balloon Dilatation
Cardiomyopathies / epidemiology
Cesarean Section
Developing Countries / statistics & numerical data*
Diagnostic Errors / prevention & control
HIV Infections / epidemiology
Heart Defects, Congenital / epidemiology
Heart Diseases / diagnosis,  epidemiology*,  therapy
Heart Failure / epidemiology
Heart Valve Prosthesis Implantation
Intensive Care
Live Birth
Pregnancy Complications, Cardiovascular / diagnosis,  epidemiology*,  therapy
Pregnancy Complications, Infectious / epidemiology
Retrospective Studies
Rheumatic Heart Disease / epidemiology
South Africa / epidemiology
Treatment Outcome
Young Adult
Reg. No./Substance:

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