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Obstetrics I - OSCE > Heart Diseases > Flashcards

Heart Diseases Flashcards

1
Q
A
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2
Q

Types of Heart Disease in Pregnancy

A
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3
Q

Classifications of Heart Disease in Pregnancy

A
  • NEW YORK HEART ASSOCIATION (NYHA) CLASSIFICATION: CLINICAL CLASSIFICATION.
  • ACOG CLASSIFICATION: ACCORDING TO RISK OF MATERNAL MORTALITY.
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4
Q

Classifications of Heart Disease in Pregnancy

  • NHYA
A
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5
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class I)
A
  • Asymptomatic (uncompromised) .
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6
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class II)
A
  • Symptomatic with heavy exertion (slightly compromised)
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7
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class III)
A
  • Symptomatic with light exertion (markedly com promised)
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8
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class IV)
A
  • Symptomatic at rest (severely compromised).
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9
Q

Classifications of Heart Disease in Pregnancy

  • ACOG
A
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10
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group I)
A
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11
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group II)
A
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12
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group III)
A
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13
Q

Effects of Pregnancy on Heart Disease

A
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14
Q

Effects of Pregnancy on Heart Disease

  • HF
A
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15
Q

Effects of Pregnancy on Heart Disease

  • Acute PE
A

Due to acute LSHF

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16
Q

Effects of Pregnancy on Heart Disease

  • Infective Endocarditis
A

More è puerperal sepsis.

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17
Q

Effects of Heart Disease on Pregnancy

A

Maternal & Fetal

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18
Q

Effects of Heart Disease on Pregnancy

  • Maternal
A
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19
Q

Effects of Heart Disease on Pregnancy

  • Fetal
A
20
Q

Dx of Heart Disease on Pregnancy

A
21
Q

Dx of Heart Disease on Pregnancy

  • Most Reliable Investigation
A

Echocardiography:

22
Q

Managment of Heart Disease on Pregnancy

A
  • Preconceptional care
  • During Pregnancy
  • During Delivery
  • Neonatal Care
  • Post Natal Care
23
Q

Managment of Heart Disease on Pregnancy

  • Preconceptional Care
A
24
Q

Managment of Heart Disease on Pregnancy

  • During Pregnancy
A
  • ANC
  • Medical Care
  • Observation
  • Corrective Cardiac Suregry
  • TOP
    TTT of Complications
25
Q

ANC for Heart Disease on Pregnancy

A
26
Q

Frequency of Visits in Heart Disease on Pregnancy

  • When to hospitalize Class I & II?
A
  1. () 28-32 weeks.
  2. At 36 weeks.
  3. At any time when complications occur.
27
Q

Medical Care in Heart Disease on Pregnancy

A
  • Antibiotics
  • Prevention of HF
  • Prevention of acute pulmonary edema
28
Q

Observation of Heart Disease on Pregnancy

A
29
Q

Corrective Cardiac Surgery for Heart Disease on Pregnancy

A
30
Q

Corrective Cardiac Surgery for Heart Disease on Pregnancy

  • Indications
A
  • chronically ill patients not responding to medical treatment.
  • Although it is better to be done after pregnancy
31
Q

Corrective Cardiac Surgery for Heart Disease on Pregnancy

  • Time
A

When indicated, it is better to be done during 2nd trimester
(general rule of surgery during pregnancy).

32
Q

Corrective Cardiac Surgery for Heart Disease on Pregnancy

  • Types
A
  • Closed cardiac surgery (valvotomy): → Safer during pregnancy.
  • Opened cardiac surgery (valve replacement): → Not preferred
    during pregnancy.
33
Q

Indications of TOP in Heart Disease on Pregnancy (Induction of Therapeutic Abortion)

A
34
Q

Time of TOP in Heart Disease on Pregnancy (Induction of Therapeutic Abortion)

A
  • Done before 12 weeks (after 12 weeks, risk of TOP is > risk of continuation).
35
Q

Method of TOP in Heart Disease on Pregnancy (Induction of Therapeutic Abortion)

A

Suction evacuation under heavy sedation & prophylactic antibiotics.

36
Q

TTT of Complications in Heart Disease on Pregnancy (Induction of Therapeutic Abortion)

A
37
Q

Managment of Heart Disease on Pregnancy

  • Managment of Delivery
A
38
Q

Managment of Heart Disease on Pregnancy during Delivery

  • Time of Delivery
A

Usually pregnancy is allowed to continue till term & elective preterm delivery is rarely indicated in cardiac cases.

39
Q

Managment of Heart Disease on Pregnancy during Delivery

  • Methods of Delivery
A

Vaginal & CS

40
Q

Managment of Heart Disease on Pregnancy during Delivery

  • Indications of Vaginal Delivery
A

The rule unless CS is indicated.

41
Q

Precautions of vaginal Delivery in Managment of Heart Disease on Pregnancy

  • During 1st Stage
A
42
Q

Precautions of vaginal Delivery in Managment of Heart Disease on Pregnancy

  • During 2nd Stage
A
  • Avoid bearing down.
  • Shortening of 2nd stage by ventouse (better) or low forceps.
43
Q

Precautions of vaginal Delivery in Managment of Heart Disease on Pregnancy

  • During 3rd Stage
A
44
Q

Indications of CS Delivery in cases of Heart Disease in Pregnancy

A
45
Q

Managment of Surgically Corrected Heaty in pregnancy

  • Cardiac Valve Replacment
A

Obstetrics I - OSCE (32 decks)

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