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- Title
Congenital heart disease in pregnancy.
- Authors
Head, C. E. G.; Thorne, S. A.
- Abstract
Congenital heart disease is now more prevalent than acquired in pregnancy in the developed world. In pregnancy the fall in systemic vascular resistance and increase in blood volume and cardiac output can cause functional deterioration in certain conditions. A minimally symptomatic woman with good ventricular function, normal oxygen saturation, and no left heart obstruction should tolerate pregnancy well. Women with pulmonary hypertension or dilated aortic root (pre-replacement) should be counselled against pregnancy and given appropriate contraceptive advice. The optimum management of a pregnant woman with a metallic prosthetic valve remains to be determined.
- Subjects
CONGENITAL heart disease; PREGNANCY; HEART abnormalities; HEMODYNAMICS; HYPERTENSION; VASCULAR resistance; BLOOD circulation
- Publication
Postgraduate Medical Journal, 2005, Vol 81, Issue 955, p292
- ISSN
0032-5473
- Publication type
Article
- DOI
10.1136/pgmj.2004.026625