Management of Acquired Cardiac Disease in the Obstetric Patient

Physiologic changes incurred by pregnancy can cause severe decompensation in the parturient with underlying cardiac disease. The result is increased morbidity and mortality for both mother and child. Appropriate anesthetic management can significantly impact these outcomes. This review systematicall...

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Bibliographic Details
Published in:Seminars in cardiothoracic and vascular anesthesia 2011-09, Vol.15 (3), p.85-97
Main Authors: Wolff, Gregory A., Weitzel, Nathaen S.
Format: Article
Language:English
Subjects:
Adult
Anesthesia, Obstetrical - methods
Delivery, Obstetric - methods
Female
Humans
Infant, Newborn
Labor, Obstetric
Pregnancy
Pregnancy Complications, Cardiovascular - physiopathology
Pregnancy Outcome
Risk
Young Adult
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Summary:Physiologic changes incurred by pregnancy can cause severe decompensation in the parturient with underlying cardiac disease. The result is increased morbidity and mortality for both mother and child. Appropriate anesthetic management can significantly impact these outcomes. This review systematically presents the pathophysiology, peripartum risk, and anesthetic management in the puerperium of specific acquired cardiac abnormalities including: valvular disease, pulmonary hypertension, cardiomyopathy, cardiac transplantation, ischemia, arrhythmias, and cardiac arrest.
ISSN:1089-2532
1940-5596
DOI:10.1177/1089253211420302