Cardiac Disease in Pregnancy
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📅 3/8/2026
Overview of Cardiac Disease in Pregnancy
Defined as heart disorders present before or developing during pregnancy that complicate maternal health.
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Risk Factors & Etiology
- Key risks: rheumatic fever, congenital defects, hypertension, advanced maternal age.
- Cardiomyopathy theories include viral myocarditis, autoimmune causes, and drug abuse.
- Coronary artery disease shares risks like diabetes, obesity, and smoking with non-pregnant cases.
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Diagnosis & Symptoms
- Symptoms: fatigue, dyspnea, chest pain, edema; signs include tachycardia and cyanosis.
- Tests: ECG for arrhythmias, echocardiography for valve defects, shielded chest X-ray.
- Lab work includes CBC for anemia and CMP for liver function.
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Management Strategies
- Antenatal: early high-risk monitoring, diuretics, beta-blockers, and oxygen therapy.
- Delivery: vaginal preferred; cesarean for severe cases with close postpartum monitoring.
- Preventive care includes pre-pregnancy counseling and treating rheumatic heart disease.
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Prognosis & Complications
- WHO classifies risk from Class I (low) to IV (pregnancy contraindicated).
- Complications: preeclampsia, preterm birth, maternal/fetal death.
- Success depends on regular follow-up and multidisciplinary care.
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