© 2004 by BMJ Publishing Group & British Cardiac Society
EDUCATION IN HEART
Congenital heart disease
Pregnancy in heart disease
Correspondence to:
Correspondence to:
Dr Sara A Thorne
The Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK; sara.thorne@uhb.nhs.uk
Keywords: pregnancy; congenital heart disease; cardiomyopathy
| The first 150 words of the full text of this article appear below. |
Heart disease is the joint most common cause of maternal death in the UK.1 The most common cardiac causes of death involve cardiomyopathy and pulmonary hypertension (fig 1
).
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[in a new window] Figure 1 Cardiac causes of maternal deaths in the UK: confidential enquiry into maternal deaths 199799 (total maternal deaths = 409, cardiac deaths = 41).1
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Congenital heart disease (CHD) is infrequently associated with maternal death, but forms the greatest workload in a cardiac antenatal clinic and may be associated with significant maternal morbidity. The population of adults with CHD is growing rapidly both in numbers and complexity of disease. There were an estimated 133 000 adults with CHD in the UK in 2000, 10 000 with complex disease; the population is expected to grow to 166 000 by 2010 with a 50% increase in those with complex conditions. Half this population are women, the majority of whom are well enough
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