| Pregnancy complicated by maternal cardiac disease: a review of 274 patients. | |
MedLine Citation:
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PMID: 15512543 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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The outcome of 274 viable pregnancies in 229 patients with cardiac disease that delivered at the King Fahad Hospital, Al-Khobar, Saudi Arabia, between 1982 and 1998 was reviewed. The incidence was 0.6% of deliveries. Rheumatic heart disease complicated 208 (75.9%) pregnancies, congenital heart lesion in 49 (17.9%) and the remaining 17 (6.2%) pregnancies were a miscellaneous group that included supraventricular tachycardia, ectopic beats, ischaemic heart disease and cardiomyopathies. The NYHA grading was between 1-2 in 243 (88.7%) pregnancies antenatally. Thirty-one patients developed heart failure, most commonly in the antenatal period, 29 of whom were of Grade 1-2. One mother in the series died from heart failure following a cesarean section. She had had a mitral valvotomy before pregnancy and was categorised as Grade 2, antenatally. The perinatal mortality rate was 14.6/1000 deliveries in the study group. Prophylactic antibiotics were given to all the patients an hour before delivery. There were two instances of bacterial endocarditis in the series. |
Authors:
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J Rahman; M S Rahman; S A Al-Suleiman; F E Al-Jama |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 20 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2000 May |
Date Detail:
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Created Date: 2004-10-29 Completed Date: 2005-04-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 242-5 Citation Subset: - |
Affiliation:
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Department of Obstetrics and Gynaecology, College of Medicine, King Faisal University, Dammam, Saudi Arabia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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