Document Detail

Controversies in pregnancy and congenital heart disease.
MedLine Citation:
PMID:  18373787     Owner:  NLM     Status:  MEDLINE    
As increasing numbers of children with congenital heart disorders reach adulthood, the family physician, cardiologist, and obstetrician will increasingly be called upon to give advice regarding the safety of pregnancy. This need has been further highlighted by the recognition that maternal mortality associated with cardiac disease is rising. Unfortunately, this field of practice remains relatively "evidence-sparse" with many management decisions being guided by anecdote and "best guess" common sense. Not surprisingly, this results in many fundamental controversies over the optimal care these patients should receive. This article highlights, through the use of case histories, some of these contentious areas, reflecting the different manifestations of congenital maternal cardiac disease and highlighting the limitations of our knowledge.
Lorna Swan; Martin Lupton; John Anthony; Steve M Yentis; Philip J Steer; Michael A Gatzoulis
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Congenital heart disease     Volume:  1     ISSN:  1747-0803     ISO Abbreviation:  -     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2008-03-31     Completed Date:  2008-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  27-34     Citation Subset:  IM    
Department of Cardiology, Western Infirmary, Glasgow, UK.
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MeSH Terms
Anticoagulants / adverse effects
Cesarean Section
Fetal Growth Retardation / etiology
Heart Defects, Congenital / physiopathology
Infant, Newborn
Pregnancy Complications, Cardiovascular / physiopathology,  therapy*
Pregnancy, High-Risk*
Reg. No./Substance:

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