TITLE

ASSOCIATION BETWEEN HEART DISEASE IN PREGNANCY WITH CARDIAC EVENTS

AUTHOR(S)
Karyono, Jatno
PUB. DATE
April 2010
SOURCE
Folia Medica Indonesiana;abr2010, Vol. 46 Issue 2, p139
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Pregnancy in heart disease is at high risk for cardiac events. Heart failure (NYHA III-IV), ejection fraction (EF)<40%, cyanocis and left ventricle obstruction (MVA< 2 cm2 or AVA <1,5 cm2) are parameters that still use in predicting cardic events in pregnancy. But in clinical experience, pregnancy with MVA 1.5-2 cm2 still can have the pregnancy without cardiac events. These parameters haven't included congenital heart disease (CHD) and hypertension with preserved EF and cyanosis hadn't still occurred has the potency the occurance of cardiac events. To date, no exact parameters associate with severity of CHD are high risk for occurance cardiac events in pregnancy. The objective was to prove MVA <1.5cm2, CHD with PASP 60 > mmHg, and chronic hypertension with left ventricle hypertrophy as risk of occurance for cardiac events in pregnancy. Ninety two pregnant women with mitral stenosis, MVA < 1.5cm2, CHD with PASP >60 mmHg and chronic hypertension with left venricle hypertrophy based on registry from 2002 to 2007, restropectively through medical record and classified into groups based on occurance of cardiac events. Ninety two pregnant women in 5.5 year period fulfilled inclusion criterias. 46.75% had cardiac events. There are significant association between MVA <1.5cm2 (CI 1.61-78.56, p=0.01), CHD with PASP > 60 mmHg (CI 1.97-19.04, p=0.01) and chronic hypertension with left ventricle hypertrophy (CI 1.16-52.35, p=0.001) with the occurance of cardiac events. In conclusion, pregnancy with severe MS, CHD with pulmonary hypertension moderate-severe and chronic hypertension with left ventricle hypertrophy are at risk of cardiac events along the pregnancy.
ACCESSION #
58601615

 

Related Articles

  • Seventeen years of adult congenital heart surgery: a single centre experience. Putman, Léon M.; van Gameren, Menno; Meijboom, Folkert J.; de Jong, Peter L.; Roos-Hesselink, Jolien W.; Witsenburg, Maarten; Takkenberg, Johanna J.M.; Bogers, Ad J.J.C. // European Journal of Cardio-Thoracic Surgery;Jul2009, Vol. 36 Issue 1, p96 

    Abstract: Objective: With a growing number of children with congenital heart disease (CHD) reaching adulthood, an extensive experience with cardiac surgery in adults with CHD is accumulating. To increase insight in this patient category we report our 17-year single centre experience including...

  • Ege Ãœniversitesi Hastanesi'nde pulmoner arteryel hipertansiyonlu hastalarla 7 yıllık deneyimimiz: Tek merkezin tanısal yaklaşımı. Kayıkçıoğlu, Meral; Kültürsay, Hakan // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Aug2008, Vol. 8 Issue 4, p279 

    Objective: Pulmonary arterial hypertension (PAH) is a term used to define a variety of progressive conditions that have in common, increased pulmonary vascular resistance leading to right heart failure and death. There has been considerable decrease in mortality and morbidity with the advances...

  • Short-term and long-term outcomes for congenital cardiac surgery. Baker, Edward // Cardiology in the Young;Aug2009, Vol. 19 Issue 4, p309 

    The article discusses various reports published within the issue including the short--term mortality following a cardiac surgery for congenital heart disease, pre and post-operative factors that predict the long-term functional outcome, and effects of using the endothelin receptor antagonist and...

  • Pregnancy and Congenital Heart Disease. Pitkin, Roy M.; Perloff, Joseph K.; Koos, Brian J.; Beall, Marie H. // Annals of Internal Medicine;3/15/90, Vol. 112 Issue 6, p445 

    Presents a summary of the conference arranged by the Department of Medicine of the University of California in Los Angeles School of Medicine, which deals with congenital heart disease in pregnancy. Information on cardiovascular adjustments of normal pregnancy; Clinical management or pregnant...

  • Sildenafil enhances systolic adaptation, but does not prevent diastolic dysfunction, in the pressure-loaded right ventricle. Borgdorff, Marinus A.J.; Bartelds, Beatrijs; Dickinson, Michael G.; Boersma, Bibiche; Weij, Michel; Zandvoort, Andre; Silljé, Herman H.W.; Steendijk, Paul; de Vroomen, Maartje; Berger, Rolf M.F. // European Journal of Heart Failure;Sep2012, Vol. 14 Issue 9, p1067 

    Aim Right ventricular (RV) failure due to pressure or volume overload is a major risk factor for early mortality in congenital heart disease and pulmonary hypertension, but currently treatments are lacking. We aimed to demonstrate that the phosphodiesterase 5A inhibitor sildenafil can prevent...

  • Maternal Hypertension During Pregnancy and the Risk of Congenital Heart Defects in Offspring: A Systematic Review and Meta-analysis. Ramakrishnan, Anushuya; Lee, Laura; Mitchell, Laura; Agopian, A. // Pediatric Cardiology;Oct2015, Vol. 36 Issue 7, p1442 

    Maternal hypertension is common during pregnancy, and multiple studies have reported on an association between maternal hypertension and congenital heart defects (CHDs) in offspring; however, there is variability in the quality of these studies. A systematic review and meta-analysis was...

  • Acardiac Monster at Term-A Rare Entity. Mann, Sonika; Chauhan, Meenakshi Barsaul; Malik, Roopa; Nanda, Smiti; Malhotra, Vani // Journal of Gynecologic Surgery;Dec2010, Vol. 26 Issue 4, p275 

    Background: Acardiac twin syndrome is a rare entity complicating 1 in 100 monozygotic twin pregnancies and 1 in 35,000 births. It should be suspected in all monochorionic, malformed fetuses with cystic hygroma, generalized edema, and an absent cardiac pulsation with a nonfunctioning heart even...

  • Embarazo y tetralogía de Fallot sin corrección quirúrgica Reporte de un caso. Navarro-Zarza, José Eduardo; Cortez-Carrera, Estrellita; Tello-Divicino, Tania Leticia; Ojendis-Acalco, Aniceto // Ginecologia y Obstetricia de Mexico;Jul2013, Vol. 81 Issue 7, p409 

    Tetralogy of Fallot is the most common cyanotic congenital heart disease. Women with this condition may become pregnant, and it is important to detect the disease to prevent cardiovascular complications and to reduce maternal and fetal death. The purpose of this paper is to report the case of a...

  • Immediate Perinatal Outcome of Neonates with Maternal Hypertensive Disorders in Pregnancy. Hassan, M.; Choudhury, F.; Begum, M.; Rahman, H.; Akhter, S. // Journal of Nepal Paediatric Society;Sep-Dec2013, Vol. 33 Issue 3, p190 

    Introduction: Hypertensive disorders of pregnancy seem to be one of the major causes of maternal morbidity and mortality leading to 10-15% of maternal deaths especially in the developing world. This study examines the perinatal outcome of neonates with mothers having hypertensive disorder of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics