How do valvular heart issues impact on pregnancy?
Significant hemodynamic changes occur during pregnancy, which can lead to decompensation in the setting of severe valvular disease. Cardiac output increases by 30-50% due to increased stroke volume and, to a lesser extent, increased heart rate later in pregnancy.
Which valvular heart disease causes death during pregnancy?
Mitral stenosis (MS), the most common manifestation of rheumatic heart disease, remains the most common acquired valvular lesion in pregnant women and the most common cause of maternal death from cardiac causes worldwide.
What treatment should the woman in labor with valvular heart disease receive while in labor?
Treatment. Women with valvular disease are best managed with a vaginal delivery with adequate pain control. Caesarean section results in greater haemodynamic changes and more blood loss, and so is typically reserved for obstetric indications.
Can you have a baby with a bicuspid aortic valve?
Results: BAV in pregnancy can lead to critical cardiovascular events including aortic dissection, aortic valve disorders, and infective endocarditis; some of these complications may lead to poor maternal outcomes or fetal demise.
Which heart condition is tolerable during pregnancy?
Chronic mitral regurgitation in pregnancy is usually due to mitral valve prolapse or rheumatic heart disease. It is usually well tolerated during pregnancy due to the decrease in systemic vascular resistance. Asymptomatic patients do not require specific therapy during pregnancy.
What is valvular heart disease?
Valvular heart disease is when any valve in the heart has damage or is diseased. There are several causes of valve disease. The normal heart has four chambers (right and left atria, and right and left ventricles) and four valves (Figure 1).
Can pregnancy cause a leaky heart valve?
24 in the American Journal of Cardiology, researchers at Johns Hopkins Medicine found that pregnant women with a history of regurgitant or “leaky” heart valves, as well as those with narrowed or stenotic valves, are up to 100 times more likely to experience cardiac complications such as heart failure at the time of …
Which position increases cardiac output in the obstetrical client with cardiac disease?
The best position for the laboring woman with cardiac compromise is the left lateral recumbent position. In this position, pulse pressure increases only six percent, compared to an increase of 26 percent in the pulse pressure when the supine position is used.
Is bicuspid aortic valve a birth defect?
Bicuspid aortic valve is a type of abnormality in the aortic valve in the heart. In bicuspid aortic valve, the valve has only two small parts, called leaflets, instead of the normal three. This condition is present from birth. It can occur with other heart defects.
Does bicuspid aortic valve run in families?
A bicuspid aortic valve can be passed down in families (inherited). Because of this, doctors often recommend that parents, children and siblings (first-degree relatives) of people with a bicuspid aortic valve be screened with an echocardiogram.
What are the hypertensive disorders in pregnancy?
The 4 categories of hypertensive disorders of pregnancy are chronic hypertension, gestational hypertension, preeclampsia-eclampsia, and chronic hypertension with superimposed preeclampsia. These disorders are among the leading causes of maternal and fetal morbidity and mortality.