Heart. Published Online First: 11 August 2006. doi:10.1136/hrt.2005.067975
Reviews |
Pregnancy in women with valvular heart disease
1 University fo Washington, United States
2 University of Washington, United States
* To whom correspondence should be addressed. E-mail: stoutk{at}u.washington.edu.
Accepted 21 June 2006
Abstract
Patients with valvular disease who desire pregnancy or are already pregnant require specialized care. Ideally, women undergo preconceptual counseling that addresses any procedures needed to decrease the risks of pregnancy, including valve replacement if the patient is symptomatic at baseline. Management during pregnancy includes replacing any contraindicated medications with safer alternatives, optimizing loading conditions, careful monitoring and aggressive treatment of any exacerbating factors. Rarely, percutaneous or surgical intervention is required during pregnancy. Labor and delivery often require invasive hemodynamic monitoring and a multi- disciplinary team for optimal maternal and fetal outcomes.
Keywords: Hemodynamics, Pregnancy, Valve disease
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