L15: Heart Disease in Pregnancy Flashcards
Incidence of Heart Disease in Pregnancy
1-3% of all pregnancies.
Types of Heart Disease in Pregnancy
Classifications of Heart Disease in Pregnancy
- NEW YORK HEART ASSOCIATION (NYHA) CLASSIFICATION: CLINICAL CLASSIFICATION.
- ACOG CLASSIFICATION: ACCORDING TO RISK OF MATERNAL MORTALITY.
Classifications of Heart Disease in Pregnancy
- NHYA
Classifications of Heart Disease in Pregnancy
- NHYA (Class I)
- Asymptomatic (uncompromised) .
Classifications of Heart Disease in Pregnancy
- NHYA (Class II)
- Symptomatic with heavy exertion (slightly compromised)
Classifications of Heart Disease in Pregnancy
- NHYA (Class III)
- Symptomatic with light exertion (markedly com promised)
Classifications of Heart Disease in Pregnancy
- NHYA (Class IV)
- Symptomatic at rest (severely compromised).
Classifications of Heart Disease in Pregnancy
- ACOG
Classifications of Heart Disease in Pregnancy
- ACOG (Group I)
Classifications of Heart Disease in Pregnancy
- ACOG (Group II)
Classifications of Heart Disease in Pregnancy
- ACOG (Group III)
Effects of Pregnancy on Heart Disease
Effects of Pregnancy on Heart Disease
- HF
Effects of Pregnancy on Heart Disease
- Acute PE
Due to acute LSHF
Effects of Pregnancy on Heart Disease
- Infective Endocarditis
More è puerperal sepsis.
Effects of Heart Disease on Pregnancy
Maternal & Fetal
Effects of Heart Disease on Pregnancy
- Maternal
Effects of Heart Disease on Pregnancy
- Fetal
Dx of Heart Disease on Pregnancy
Dx of Heart Disease on Pregnancy
- Hx
Past or family history of rheumatic fever, past history of cardiac troubles or past history of cardiac surgery (valvotomy or valve replacement).
Dx of Heart Disease on Pregnancy
- Symptoms
Dx of Heart Disease on Pregnancy
- Signs
Dx of Heart Disease on Pregnancy
- INVx
- ECG.
- Echocardiography: Most reliable investigation in pregnancy.
- Chest X-ray: For evaluation of size of heart.
- Cardiac catheterization: Not indicated during pregnancy.
Dx of Heart Disease on Pregnancy
- Most Reliable Investigation
Echocardiography:
Managment of Heart Disease on Pregnancy
- Preconceptional care
- During Pregnancy
- During Delivery
- Neonatal Care
- Post Natal Care
Managment of Heart Disease on Pregnancy
- Preconceptional Care
Managment of Heart Disease on Pregnancy
- During Pregnancy
- ANC
- Medical Care
- Observation
- Corrective Cardiac Suregry
- TOP
TTT of Complications
ANC for Heart Disease on Pregnancy
Frequency of Visits in Heart Disease on Pregnancy
Frequency of Visits in Heart Disease on Pregnancy
- Class I & II
As any high risk pregnancy (every 2 weeks till 28 weeks then every week till 36 weeks)