Document Detail


Severe cardiac disease in pregnancy, part I: hemodynamic changes and complaints during pregnancy, and general management of cardiac disease in pregnancy.
MedLine Citation:
PMID:  16175029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Part I of this review gives an overview of the hemodynamic changes that occur in normal pregnancy, the approach to the pregnant patient with complaints during pregnancy, and the general management of cardiac disease in pregnancy. RECENT FINDINGS: The maternal circulatory adaptation to pregnancy consists almost entirely of adaptive changes in the maternal cardiovascular system in response to a primary systemic vasodilatation. Conversely, hemodynamic maladaptation consists of a combination of absence of these changes with signs of sympathetic dominance in the autonomic control of the cardiovascular system. SUMMARY: The hemodynamic changes of normal pregnancy per se have profound effects on preexisting cardiac function. Counseling of and care for this subset of patients are challenging for the obstetrician, cardiologist, anesthesiologist and, sometimes, the intensivist to optimize maternal and neonatal survival.
Authors:
Walther N K A van Mook; Louis Peeters
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in critical care     Volume:  11     ISSN:  1070-5295     ISO Abbreviation:  Curr Opin Crit Care     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-21     Completed Date:  2006-02-16     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9504454     Medline TA:  Curr Opin Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  430-4     Citation Subset:  IM    
Affiliation:
Department of Intensive Care and Internal Medicine , University Hospital Maastricht, Maastricht, Netherlands. wvm@sint.azm.nl
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MeSH Terms
Descriptor/Qualifier:
Cardiovascular Physiological Phenomena*
Female
Hemodynamics / physiology*
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis*,  therapy*

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


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