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. 2008 May-Jun;19(3):145-51.

Cardiac disease in pregnancy

T Nqayana  1 , J Moodley, D P Naidoo
Affiliations

Cardiac disease in pregnancy

T Nqayana et al. Cardiovasc J Afr. 2008 May-Jun.

Abstract

This study was a retrospective review of patient charts of a relatively large number of patients with cardiac disease in pregnancy in a developing country. Ninety-five patients were evaluated; the majority (n = 36) were in the age group 21-25 years. Rheumatic heart disease was the commonest aetiology; eight women required balloon mitral valvuloplasty and one had a valve replacement at 32 weeks' gestation. There were no maternal deaths but morbidity was high; 13 patients were admitted in cardiac failure, nine had atrial fibrillation and three required intensive-care management. There were 86 live births of the 97 deliveries. Cardiac disease in pregnancy is associated with high maternal morbidity and adverse foetal outcomes; this was related to late presentation and problems with anticoagulation. Clinical assessment remains a key factor in timeous referral and appropriate investigations.

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References

    1. Klein LL, Galan HL. Cardiac disease in pregnancy. Obstet Gynecol Clin N Am. 2004;31:429–459. - PubMed
    1. Van Mook WNKA, Peeters L. Severe cardiac disease in pregnancy, part II: impact of congenital and acquired cardiac disease during pregnancy. Curr Opin Crit Care. 2005;11(5):435–448. - PubMed
    1. Anandaraja S, Kothari SS, Bahl VK. Management of valvular heart disease during pregnancy. Ind Heart J. 2005;57(2):101–108. - PubMed
    1. Pretoria: A report of the National Committee on Confidential Enquiries into maternal deaths in South Africa (1999−2001) DOH. pp. 162–174.
    1. Desai DK, Adanlawo M, Naidoo DP, Moodley J, Kleinschmidt I. Mitral stenosis in pregnancy: a four-year experience at King Edward VIII Hospital, Durban, South Africa. Br J Obstet Gynaecol. 2000;107(8):953–958. - PubMed

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