Critical heart condition during pregnancy : critical care obstetrics.
Cardiac Critical Illness is a volume in the Critical Care Obstetrics series.It's a novel reference to educate physicians, nurses, and all allied healthcare personnel caring for pregnant women with various health compromises specific to cardiac complications.
| Corporate Author: | |
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| Format: | eBook |
| Language: | English |
| Published: |
[S.l.] :
Academic Press,
2024.
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| Series: | Criticial care in obstetrics
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| Subjects: | |
| Online Access: | Connect to the full text of this electronic book |
Table of Contents:
- Front Cover
- Critical Heart Condition During Pregnancy
- Critical Heart Condition During Pregnancy: Critical Care Obstetrics
- Copyright
- Contents
- Contributors
- Preface
- 1
- The cardio-obstetric team
- Introduction
- Components of the cardio-obstetric team
- Purpose of the cardio-obstetric team
- Preconception assessment of patients with cardiac disease
- mWHO class I
- mWHO class II
- mWHO class II-III
- mWHO class III
- mWHO class IV
- Collaborative antenatal assessment
- Multidisciplinary conferences
- Postdelivery follow-up
- Research and education
- Training
- Developing a cardio-obstetrics service
- Organizational culture and future vision
- Conclusion
- References
- 2
- Pregnancy induced heart physiological alteration
- Introduction
- Heart remodeling (position and size)
- Heart rate
- Cardiac output
- Blood volume changes
- Systemic vascular resistance
- Arterial blood pressure
- Influence body position
- Conclusion
- References
- 3
- Critical heart condition during pregnancy
- Physiological changes of pregnancy
- Hypertensive disorders associated with pregnancy
- Hypotensive sintomas de hipotension
- Symptoms and signs in preeclampsia and eclampsia
- Heart valve disease
- Other heart problems that could develop during pregnancy
- Arrhythmias
- References
- 4
- Anesthesia and analgesia for the critically ill obstetric patient with cardiac disease
- Introduction
- Risk stratification
- WHO group I
- WHO group II
- WHO group III
- WHO group IV
- Identification of heart disease in pregnancy
- Physiological changes during delivery
- Decision-making and delivery planning
- Monitoring
- General principles of anesthetic management
- Analgesia for vaginal delivery
- Neuraxial anesthesia for caesarean section delivery.
- General anesthesia for caesarean section delivery-general principles
- Peripartum cardiovascular support-pharmacological
- Obstructive lesions
- Regurgitant lesions
- Ischemic heart disease
- Pulmonary hypertension
- Acute aortic aneurysm and dissection
- Right-to-left shunt
- Left-to-right shunt
- Peripartum cardiovascular support-nonpharmacological
- Postpartum care
- References
- 5
- Anticoagulation in pregnancy
- Introduction
- Risk factors for pregnancy-related VTE
- Anticoagulant therapy in pregnancy
- Heparins
- Vitamin K antagonist
- Direct oral anticoagulant
- Danaparoid
- Fondaparinux
- Other anticoagulants
- Indications of anticoagulation in pregnancy
- Preconception management of women already using anticoagulants when planning pregnancy
- Previous VTE
- Women with Mechanical heart valve
- Prevention of pregnancy-related VTE
- Women with a personal history of VTE
- Thromboprophylaxis in women with inherited thrombophilia
- Women undergoing assisted reproductive technology
- Thromboprophylaxis after caesarean section
- Prevention of pregnancy loss
- Prevention in women with antiphospholipid Syndrome
- Management of acute venous thromboembolism during pregnancy
- Acute VTE during pregnancy
- Thrombolysis for pulmonary embolism in pregnancy
- Peripartum management
- Anticoagulant therapy in breastfeeding women
- Conclusions
- References
- 6
- Pregnancy and valvular heart disease
- Introduction
- Hemodynamic changes during pregnancy
- Evaluation and risk assessment
- Mitral stenosis
- Aortic stenosis
- Women with prosthetic valves
- Stenotic valve disease
- Mitral stenosis
- Aortic stenosis
- Regurgitant valve disease
- Delivery and postpartum management
- Anesthetic considerations
- Intrapartum care
- Mode of delivery
- Endocarditis risk
- Postpartum management
- Oxytocic drugs.
- Anticoagulation and hemorrhage
- Lactation
- Contraception
- References
- 7
- Adult congenital heart disease in pregnancy
- Introduction
- Preconception counseling
- Contraindications to pregnancy
- Determinants of fetal outcome
- Risk of recurrence of congenital heart defects in fetus
- Investigations
- Specific lesions
- Acyanotic congenital heart diseases
- Cyanotic congenital heart disease
- Tetralogy of Fallot
- Transposition of the great arteries
- Truncus arteriosus
- Ebstein's anomaly
- Univentricular heart
- Management
- Antenatal care and prevention of complications
- Cardiac medications during pregnancy
- Thromboembolism and pregnancy
- Delivery
- Antibiotic prophylaxis
- Intensive care management
- Conclusion
- References
- 8
- Peripartum cardiomyopathy
- Peripartum cardiomyopathy case definition
- Epidemiology
- Risk factors
- Pathophysiology
- Clinical manifestations
- Therapeutic strategies
- Acute phase
- Chronic phase
- References
- 9
- Acute coronary syndrome during pregnancy
- Incidence and risk factors
- Diagnosis
- Management
- Conclusion
- References
- 10
- Pulmonary hypertension in pregnancy
- Introduction
- Definition
- Burden of disease
- Physiological changes and impact on PAH
- Diagnosis
- Symptoms/signs
- Risk stratification
- Counseling and contraceptives
- Women who get pregnant
- Approach to treatment
- Supportive measures
- Pharmacological treatment of PAH
- Calcium channel blockers
- Pulmonary hypertension specific therapies
- Endothelin receptor antagonists
- Phosphodiesterase 5 inhibitors and guanylate cyclase stimulators
- Inhaled nitric oxide
- PAH during pregnancy
- Mode of delivery
- Delivery location
- Anesthetic perspective
- RVAD/ECMO/lung transplant
- Postpartum
- Conclusion
- References
- 11
- Arrythmias in pregnancy and management.
- Introduction
- Cardiovascular adaptations in pregnancy
- Mechanisms of arrhythmia
- Types of arrhythmia during pregnancy
- Supraventricular arrhythmias
- Atrial fibrillation and flutter
- Ventricular arrhythmias
- Bradyarrhythmias
- Approach to the pregnant woman with palpitations
- History
- Investigations
- Principles of management of arrhythmias in pregnancy
- Treatment of specific arrhythmias in pregnancy
- Hemodynamically unstable arrhythmia
- Benign arrhythmias
- Supraventricular tachycardia
- Atrial fibrillation and atrial flutter
- Ventricular tachyarrhythmias
- Invasive interventions
- Postpartum considerations
- Cardiac arrest in pregnancy
- Inherited arrhythmia syndromes
- Fetal arrhythmias in pregnancy
- Tachyarrhythmias
- Bradyarrhythmias
- Conclusions
- References
- 12
- Endocarditis in pregnancy
- Introduction
- Definition of endocarditis
- History of diagnosis of IE
- Diagnosis of infective endocarditis
- Confirmation of diagnosis-in pregnancy
- Management of IE
- Management of IE for pregnancy
- Treatment
- Antibiotics
- Surgery
- Complications
- Epidemiology of infective endocarditis
- Types of patients
- Risks
- Prevalence
- Conclusion
- References
- 13
- Cardiopulmonary resuscitation in pregnancy
- Introduction
- Epidemiology of maternal cardiac arrest
- Conduct of resuscitation
- Activation of the resuscitation team
- Basic life support
- Perimortem caesarean section
- Advanced life support
- Iatrogenic causes
- ECMO and ECPR
- Survival and postresuscitation care
- Somatic support
- Human factors and preparation for maternal cardiac arrest
- Conclusions
- References
- 14
- Cardiac surgery and pregnancy
- Cardiac surgery and pregnancy
- Rheumatic fever
- Physiological changes during pregnancy
- Comprehensive evaluation
- Maternal risk
- Fetal risk.
- Categorization and management of cardiovascular complications during pregnancy
- High-risk
- Intermediate-risk
- Low-risk
- Drugs and pregnancy
- Arrhythmias
- Thrombosis
- Congenital cardiomyopathy
- Shunts
- Bicuspid aorta
- Aortic coarctation
- Pulmonary stenosis
- Eisenmenger
- Tetralogy of Fallot
- Transpocición de grandes arterias (TGA)
- Ebstein's
- Marfan's
- Aortic dissection
- Hypertrophic cardiomyopathy
- Dilated cardiomyopathy
- Peripartum
- Age
- Myocardial infarction
- Rheumatic disease
- Pregnancy and valve replacement
- Conclusion
- References
- 15
- Heart failure in pregnancy
- Introduction
- General considerations
- Hemodynamic changes during pregnancy
- Hemodynamic changes during labor and delivery
- Pathophysiology
- Myocardial systolic function
- Neurohormonal activation
- Renin-angiotensin-aldosterone system
- Sympathetic nervous system
- Natriuretic peptides
- Antidiuretic hormone (vasopressin)
- Endothelins
- Maternal and fetal risks
- Causes of heart failure during pregnancy
- Clinical signs
- Investigations
- Chest X-ray and ECG
- Echocardiography
- B-type natriuretic peptide
- Treatment
- Drug therapies
- Diuretics
- Vasodilator therapy
- Angiotensin converting enzyme inhibitors
- Beta-blockers
- Spironolactone
- Anticoagulation
- Bromocriptine
- Inotropes
- Mechanical circulatory support
- The mode of delivery
- Prognosis
- References
- 16
- Cardiovascular medications in critically ill pregnant patients
- Introduction
- Cardiovascular medications during pregnancy
- Antiarrhythmic drugs
- Antihypertensive drugs
- Diuretic in pregnancy
- Anticoagulation and antiplatelet therapy
- Drugs for heart failure
- Drugs for coronary artery disease during pregnancy
- Lipid-lowering agents during pregnancy
- Drugs for pulmonary hypertension during pregnancy.