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Maternal valvular heart disease in pregnancy.

Publication ,  Journal Article
Roeder, HA; Kuller, JA; Barker, PCA; James, AH
Published in: Obstet Gynecol Surv
September 2011

UNLABELLED: Valvular heart disease is common in pregnancy. Maternal physiology changes significantly during gestation with substantial increases in cardiac output and blood volume; this can cause unmasking or worsening of cardiac disease. Acquired valvular lesions most frequently arise from rheumatic fever, especially in patients who have emigrated from developing nations. Congenital lesions are also encountered. The most common conditions seen, mitral stenosis and regurgitation and aortic stenosis and regurgitation, each require a specific evaluation and management and are associated with their own set of possible complications. Patients with prosthetic valves require anticoagulation, and maternal and fetal risks and benefits must be carefully weighed. Patients with heart disease should be meticulously managed preconceptionally up to the postpartum period by maternal-fetal medicine specialists, obstetricians, cardiologists, and anesthesiologists using a multi-disciplinary approach to their cardiac conditions. TARGET AUDIENCE: Obstetricians & Gynecologists and Family Physicians. LEARNING OBJECTIVES: After the completing the CME activity, physicians should be better able to examine the epidemiology of valvular heart disease in pregnancy, categorize key physiologic parameters that change in the cardiovascular system during pregnancy, classify the pathophysiology of valvular lesions, and evaluate the general principles of maternal and fetal management for cardiac disease.

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Published In

Obstet Gynecol Surv

DOI

EISSN

1533-9866

Publication Date

September 2011

Volume

66

Issue

9

Start / End Page

561 / 571

Location

United States

Related Subject Headings

  • Rheumatic Heart Disease
  • Pregnancy Complications, Cardiovascular
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Maternal Mortality
  • Humans
  • Heart Valves
  • Heart Valve Prosthesis Implantation
  • Heart Valve Diseases
  • Female
 

Citation

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Roeder, H. A., Kuller, J. A., Barker, P. C. A., & James, A. H. (2011). Maternal valvular heart disease in pregnancy. Obstet Gynecol Surv, 66(9), 561–571. https://doi.org/10.1097/OGX.0b013e318238605d
Roeder, Hilary A., Jeffrey A. Kuller, Piers C. A. Barker, and Andra H. James. “Maternal valvular heart disease in pregnancy.Obstet Gynecol Surv 66, no. 9 (September 2011): 561–71. https://doi.org/10.1097/OGX.0b013e318238605d.
Roeder HA, Kuller JA, Barker PCA, James AH. Maternal valvular heart disease in pregnancy. Obstet Gynecol Surv. 2011 Sep;66(9):561–71.
Roeder, Hilary A., et al. “Maternal valvular heart disease in pregnancy.Obstet Gynecol Surv, vol. 66, no. 9, Sept. 2011, pp. 561–71. Pubmed, doi:10.1097/OGX.0b013e318238605d.
Roeder HA, Kuller JA, Barker PCA, James AH. Maternal valvular heart disease in pregnancy. Obstet Gynecol Surv. 2011 Sep;66(9):561–571.

Published In

Obstet Gynecol Surv

DOI

EISSN

1533-9866

Publication Date

September 2011

Volume

66

Issue

9

Start / End Page

561 / 571

Location

United States

Related Subject Headings

  • Rheumatic Heart Disease
  • Pregnancy Complications, Cardiovascular
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Maternal Mortality
  • Humans
  • Heart Valves
  • Heart Valve Prosthesis Implantation
  • Heart Valve Diseases
  • Female