Cardiovascular Diseases and Pregnancy de Oleg M. Eliseev

Cardiovascular Diseases and Pregnancy

Oleg M. Eliseev

Elena Tarkhanova

George Watts

Concise, recent data are presented on obstetric problems arising in patients with cardiovascular diseases (not only congenital and acquired valvular heart diseases and hypertension, but also uncommon heart lesions) and on cardiological complications encountered in pregnant women. The goal of the book is to provide obstetricians with necessary cardiological information and cardiologists with essential obstetric information to enable both specialists to make optimal decisions regarding the permissibility of pregnancy, management of pregnancy and labour, or termination of pregnancy, and selection of an adequate form of contraception in women with heart and vascular diseases. Along with recent scientific findings, the book contains practical recommendations for examination diagnosis and treatment that is effective for the mother and safe for the fetus.

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Cuprins

1 Introduction.- 2 Hemodynamic and Cardiac Function Changes in Pregnancy.- 2.1 Cardiac Output, Stroke Volume, Heart Rate, Left Ventricular Work.- 2.2 Blood Volume.- 2.3 Blood Pressure, Total Peripheral Resistance, Venous Pressure.- 2.4 Circulation Time, Pulse Wave Velocity.- 2.5 Intracardiac and Pulmonary Artery Pressure.- 2.6 Regional Circulation.- 2.7 Systolic Time Intervals.- 2.8 Oxygen Consumption.- 2.9 Hemodynamic and Oxygen Consumption Changes During Exercise and Medical Interventions.- 2.10 Supine Hypotensive Syndrome of Pregnancy.- 2.11 Changes in Heart Size and Cardiodynamics.- 3 Examination of the Cardiovascular System in Pregnancy.- 3.1 History.- 3.2 Physical Examination.- 3.3 Electrocardiographic Findings.- 3.4 X-ray Examination.- 3.5 Radionuclide Examination.- 3.6 Magnetic Resonance Tomography.- 3.7 Phonocardiography.- 3.8 Echocardiography.- 3.9 Vectorcardiography.- 3.10 Exercise Stress Testing.- 3.11 Basal Metabolism. Blood Examination.- 4 Cardiovascular Diseases and Pregnancy.- 4.1 Heart Failure.- 4.2 Functional State of the Heart.- 4.3 Effects of Maternal Heart Disease on the Fetus.- 4.4 Influence of Age and Intercurrent Diseases on the Course of Pregnancy in Patients with Cardiovascular Disease.- 4.5 Pregnancy and Rheumatism.- 5 Acquired Valvular Heart Disease and Pregnancy.- 5.1 Mitral Stenosis.- 5.2 Mitral Regurgitation.- 5.3 Aortic Regurgitation.- 5.4 Aortic Stenosis.- 5.5 Tricuspid Regurgitation.- 5.6 Tricuspid Stenosis.- 5.7 Acquired Lesions of the Pulmonic Valve.- 5.8 Rheumatic Combined Valvular Heart Disease.- 6 Congenital Heart Disease and Pregnancy.- 6.1 Congenital Cardiovascular Anomalies.- 6.2 Mitral Valve Prolapse.- 7 Diseases of the Myocardium, Endocardium, and Pericardium and Uncommon Heart Diseases in Pregnancy.- 7.1 Diseases of the Myocardium.- 7.2 Diseases of the Endocardium.- 7.3 Diseases of the Pericardium.- 7.4 Uncommon Heart Diseases.- 8 Heart Rhythm and Conduction Disturbances in Pregnancy.- 8.1 Cardiac Arrhythmias.- 8.2 Conduction Disturbances.- 8.3 Artificial Pacemaker and Pregnancy.- 9 Pregnancy After Cardiac Surgery and Cardiac Surgery During Pregnancy.- 9.1 Pregnancy After Cardiac Surgery.- 9.2 Cardiac Surgery During Pregnancy.- 9.3 Pregnancy in Women with Prosthetic Cardiac Valves.- 10 Management of Pregnant Women with Heart Disease.- 10.1 General Principles of Management.- 10.2 Regimen and Diet.- 10.3 Treatment and Prophylaxis.- 11 Labor and Termination of Pregnancy in Women with Cardiovascular Diseases.- 11.1 Management of Labor in Patients with Cardiovascular Diseases.- 11.2 Breast Feeding and Drugs.- 11.3 Termination of Pregnancy in Patients with Cardiovascular Diseases.- 12 Hypertension and Pregnancy.- 12.1 Essential Hypertension.- 12.2 Preeclampsia-Eclampsia.- 12.3 Renovascular Hypertension.- 12.4 Primary Aldosteronism (Conn’s Disease).- 12.5 Pheochromocytoma.- 12.6 Cushing’s Disease.- 12.7 Chronic Glomerulonephritis.- 12.8 Chronic Pyelonephritis.- 12.9 Collagen Diseases.- 12.10 Polycystic Kidneys.- 12.11 Diabetic Nephropathy.- 12.12 Differential Diagnosis of Arterial Hypertension.- 12.13 Management of Patients with Arterial Hypertension.- 13 Arterial Hypotension and Pregnancy.- 14 Vascular Diseases and Pregnancy.- 14.1 Diseases of the Aorta and Arteries.- 14.2 Diseases of the Veins.- 14.3 Thrombosis and Thromboembolism in Pregnancy.- 15 Contraception and Sterilization in Cardiovascular Diseases.- 15.1 Contraception in Cardiovascular Diseases.- 15.2 Sterilization in Cardiovascular Diseases.- References.