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Heart disease in pregnancy 

Heart disease in pregnancy

Chapter:
Heart disease in pregnancy
Author(s):

Catherine E.G. Head

DOI:
10.1093/med/9780199204854.003.1406_update_001

Update:

Cardiovascular investigation—expanded notes on the ECG and exercise testing.

Maternal risk—use of modified WHO risk classification.

Specific conditions—(1) peripartum cardiomypathy—role of proteolytic cleavage products of prolactin in pathogenesis; (2) dilated aortic root—revised recommendations for imaging and prophylactic surgery.

Updated on 30 May 2013. The previous version of this content can be found here.
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date: 28 June 2017

Pregnancy is a vasodilator state in which plasma volume and cardiac output increase such that many symptoms and signs of cardiac disease can occur physiologically. Disproportionate symptoms or abnormal signs such as a diastolic murmur require investigation as usual; necessary radiological investigations should not be withheld as the risks to the fetus are generally low....

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