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Heart disease in pregnancy 

Heart disease in pregnancy
Heart disease in pregnancy

Catherine E.G. Head



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.

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date: 27 September 2021

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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