Maternal cardiac disease

Current Opinion in Anaesthesiology
P Boris W CoxMarco A E Marcus

Abstract

An estimated 0.5-4% of pregnant patients have cardiac disease, such as rheumatic disease, which is decreasing in Western countries, uncorrected congenital heart disease, cardiomyopathy and ischaemic heart disease. There has been an increase in maternal mortality due to cardiac causes. Congenital heart disease is becoming the most common source of cardiac problems in the pregnant patient, because patients are increasingly likely to survive to childbearing age with the improvement of surgery. The increasing age of patients conceiving their first child is also an important factor. A comprehensive understanding of the physiology of pregnancy and the pathophysiology of maternal cardiac disease is of great importance for anaesthesiologists, gynaecologists and cardiologists involved in peripartum care. We try to give a brief and comprehensive review on this topic.

References

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Citations

Nov 22, 2008·International Journal of Obstetric Anesthesia·E C M NelissenJ G Nijhuis
Apr 13, 2011·European Journal of Heart Failure·Sébastien P J KrulKarin Y van Spaendonck-Zwarts
Aug 2, 2019·Nursing Open·Sandra MillingtonRobyn A Clark
Aug 10, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Bradley SmithDavid Sturgess

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