PMID: 39838Jul 1, 1978

Rheumatic heart disease diagnosed during pregnancy: a 30-year follow-up

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
N GleicherT D Kerenyi

Abstract

One hundred one patients originally diagnosed as having rheumatic heart disease (RHD) during the years 1945-1948 were reevaluated in 1975 to determine the natural history of the disease. Twenty patients (19.8%) showed no sign of RHD. Of the patients with confirmed RHD, 56 (70.0%) had their original lesion confirmed, while 23 (28.8%) had developed additional valvular involvement. Pure mitral stenosis resulted in significantly lower mortality than all other valvular lesions, and congestive heart failure was the leading cause of death. Nineteen patients underwent cardiac surgery; the mortality in this group (52.6%) was not significantly higher than that in the overall RHD group (38.8%). False diagnosis of RHD during pregnancy is common. A more thorough evaluation of the "cardiac murmur of pregnancy" is advocated.

Citations

Nov 1, 1977·The American Journal of Cardiology·J F RuwitchP A Ludbrook
Mar 1, 1976·Current Problems in Cardiology·R A O'rourke, M H Crawford
Mar 1, 1976·Circulation·W MarkiewiczR L Popp
Apr 1, 1972·Circulation·A Selzer, K E Cohn
Mar 1, 1968·American Journal of Obstetrics and Gynecology·L C CHESLEY
Jan 9, 1954·British Medical Journal·M I DRURYA P BARRY
Sep 11, 1958·The New England Journal of Medicine·J W HURSTD HUBBARD
Feb 1, 1962·The Journal of Obstetrics and Gynaecology of the British Empire·A M SUTHERLAND, D F BRUCE

Related Concepts

Rheumatic Mitral Stenosis
Mitral Valve Stenosis
Discipline of Heart Surgery
Mitral Valve Insufficiency
Pregnancy Complications, Cardiovascular
Heart Valve Disease
Congestive Heart Failure
Heart Failure
Rheumatic Heart Disease

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