Valvular heart disease in pregnancy

被引：0

作者：

Timmons, Paul ^{[1
]}

Partridge, Gemma ^{[2
]}

McKelvey, Alastair ^{[3
]}

Lyall, Hamish ^{[4
]}

Morosan, Monica ^{[5
]}

Freeman, Leisa ^{[6
]}

机构：

[1] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Maternal Fetal Med, Norwich NR4 7UY, Norfolk, England

[2] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Consultant Obstetrician, Norwich NR4 7UY, Norfolk, England

[3] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Consultant Obstet & Maternal Fetal Med, Norwich NR4 7UY, Norfolk, England

[4] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Dept Haematol, Consultant Haematologist, Norwich NR4 7UY, Norfolk, England

[5] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Dept Anaesthet, Consultant Anaesthetist, Norwich NR4 7UY, Norfolk, England

[6] Norfolk & Norwich Univ Hosp NHS Fdn Trust, Dept Cardiol, Consultant Cardiologist, Norwich NR4 7UY, Norfolk, England

来源：

OBSTETRICIAN & GYNAECOLOGIST | 2023年 / 25卷 / 01期

关键词：

analgesia; haematology; medical disorders in pregnancy; maternal physiology; obstetric; MITRAL-VALVE; ECHOCARDIOGRAPHIC-ASSESSMENT; CARDIAC-DISEASE; WOMEN; RISK; OUTCOMES; REGISTRY; STENOSIS; CARE;

D O I：

10.1111/tog.12857

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Key content Pregnancy-induced changes in haemodynamic physiology can place considerable strain on cardiac function in some women with valvular disease. Regurgitant valve lesions are usually better tolerated in pregnancy than stenotic lesions, although the risk of obstetric complications is increased in both. Pre-conception counselling is essential for all women with valvular disease. Optimising anticoagulation is a particular challenge in women with mechanical valves. Learning objectives To understand the World Health Organization (WHO) classification of maternal cardiac disease and how this affects counselling regarding decisions around pregnancy for women with valve pathology. To understand how valve disease affects pregnancy and vice versa. To gain insight into the anaesthetic and haematological considerations for managing women with valvular disease. Ethical issues What is the optimum anticoagulation regimen for women with mechanical heart valves in pregnancy that balances both maternal and fetal risks?

引用

页码：19 / 27

页数：9

共 38 条

[1] Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice [J].