Cardiac/pulmonary disease in pregnancy

Question 1

What are the cardiac diseases with 25-50% mortality in pregnancy?

Answer 1

CMEP
Coarctation of the Ao
Marfan's with Ao involvment >4cm
Eisinmenger's
Pulmonary HTN

Question 2

Aortic stenosis

Answer 2

Keep wet

Question 3

Mitral stenosis

Answer 3

Keep dry

Question 4

Def’n of ARDS

Answer 4

• Bilateral opacities
• Not due to cardiac disease
• PaO2:FiO2 (mild: 200-300; mod: 100-200; severe: <100)

Question 5

Peripartum cardiomyopathy

Answer 5

1 month predelivery to 5 months PP
No identifiable cause of cardiac failure
LV syst dysfunction (EF<30%)