Cardiac Anaesthesia In Pregnancy Flashcards
1
Q
What is PREG 1 s oring system?
A
2
Q
PREG II Risk score
A
3
Q
ZAHARA risk score
A
4
Q
WHO Risk score
A
5
Q
Validation of the scoring systems
A
the WHO classification model performed the best at predicting maternal complications.
6
Q
High risk cardiac conditions
A
PAH - 30-56 % mortality Higher risk when ? •severely elevated PAP • ^PVR • worse functional class • pre existing RVDysfunction
7
Q
PAH mx in pregnancy
A
Avoid ERA I.e bosentan
Cont PDE-5, Prostacyclin, CCB, NO
8
Q
High risk cardiac conditions: aortic aneurysm
A
Especially associated with
• Marfan so, Loeys-Dietz so or Ehlers-Dankos sx
1% risk of aortic aneurysm rupture if diameter >40mm
