Document Detail


Cardiac disease and pregnancy.
MedLine Citation:
PMID:  11512497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The pregnant state imposes a supraphysiologic strain on the pregnant woman's cardiac performance through complex biochemical, electric, and physiologic changes affecting the blood volume, myocardial contractility, and resistance of the vascular bed. In the presence of underlying heart disease, these changes can compromise the woman's hemodynamic balance, her life, and that of her unborn child. Cardiac pathology represents a heterogeneous group of disorders, each with its own hemodynamic, genetic, obstetric, and social implications. Physicians caring for these women should actively address the issue of reproduction. Ideally, pregnancy should be planned to occur after optimization of cardiac performance by medical or surgical means. Once pregnancy is achieved, the concerted effort of a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, nursing, social, and other services provides the best opportunity to carry the pregnancy to a successful outcome.
Authors:
A F Gei; G D Hankins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology clinics of North America     Volume:  28     ISSN:  0889-8545     ISO Abbreviation:  Obstet. Gynecol. Clin. North Am.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-21     Completed Date:  2001-12-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8709551     Medline TA:  Obstet Gynecol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  465-512     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Texas Medical Branch at Galveston, Galveston, Texas, USA. afgei@utmb.edu
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Cardiovascular Agents / therapeutic use
Cardiovascular Physiological Phenomena
Delivery, Obstetric
Female
Heart Diseases* / diagnosis,  epidemiology,  physiopathology,  therapy
Humans
Postnatal Care
Preconception Care
Pregnancy / physiology
Pregnancy Complications, Cardiovascular* / diagnosis,  epidemiology,  physiopathology,  therapy
Prenatal Care
Risk
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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