| Management of pregnancy in women with palliated and unpalliated congenital heart defects. | |
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MedLine Citation:
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PMID: 17897571 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Medical advancements have made it possible for more women with congenital heart defects (CHDs) to carry successful pregnancies. Most CHD surgeries or interventions are palliative with persistent residua and sequelae exacerbated by the physiologic stresses of pregnancy. Preconception assessment, a tailored multidisciplinary approach during pregnancy, and a planned, elective delivery followed by careful postpartum monitoring may improve outcomes. Teratogenic medications should be stopped and changed to safer alternatives. Major hemodynamic changes in pregnancy, labor, and delivery may aggravate the underlying cardiovascular defects. Interventions or surgeries, when anticipated, should be performed before pregnancy. Antibiotic prophylaxis is indicated for nearly all palliated and unpalliated defects. |
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Authors:
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Reema Chugh |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Current treatment options in cardiovascular medicine Volume: 9 ISSN: 1092-8464 ISO Abbreviation: Curr Treat Options Cardiovasc Med Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815942 Medline TA: Curr Treat Options Cardiovasc Med Country: United States |
Other Details:
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Languages: eng Pagination: 414-27 Citation Subset: - |
Affiliation:
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Reema Chugh, MD Adult Congenital Heart Disease and Heart Disease in Pregnancy, Kaiser Foundation Hospitals, Department of Cardiology, 13652 Cantara Street, Area 308, Panorama City, CA 91402, USA. reema.x.chugh@kp.org. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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