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Pregnancy and Heart Disease 

Pregnancy and Heart Disease
Chapter:
Pregnancy and Heart Disease
Author(s):

Patrizia Presbitero

, Giacomo G. Boccuzzi

, Christianne J.M. Groot

, and Jolien W. Roos-Hesselink

DOI:
10.1093/med/9780199566990.003.033
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date: 22 August 2019

Heart disease, though rare, is in Western countries a major cause of maternal mortality. Heart disease can be present or discovered during pregnancy because of haemodynamic overload of the heart, particularly during the third trimester when cardiac output doubles.

Most of the knowledge in recognition and treatment of cardiac disease during pregnancy is not based on evidence from randomized trials, but is derived from clinical experience, few case reports, and small consecutive series. These are summarized in the guidelines on ‘Management of Cardiovascular Diseases During Pregnancy’ from the European Society of Cardiology, the basis for this chapter. The physiological changes that occur during pregnancy have a different impact depending on the type and severity of cardiac anomalies. Differential diagnosis with normal pregnancy related physiological changes is also discussed....

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