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This issue of Cardiology Clinics, curated by Dr. Melinda Davis and Dr. Kathryn Lindley, will explore topics related to Pregnancy and Heart Disease. This issue is one of four selected each year by the series editorial board: Jamil A. Aboulhosn, David M. Shavelle, Terrence D. Welch, and Audrey H. Wu. Topics in this volume include, but are not limited to, Cardiovascular Contribution to Maternal Mortality, Risk stratification and The Pregnancy Heart Team, Cardiovascular Testing in Pregnant Women, Obstetric Considerations and Delivery Planning, Adult Congenital Heart Disease, Aortopathies and Vascular Disease, Arrhythmias, Hypertensive Disorders of Pregnancy, Ischemic Heart Disease, Pulmonary Arterial Hypertension, Peripartum Cardiomyopathy ̧ Hypertrophic Cardiomyopathy, Valvular Heart Disease, Medication Safety during Pregnancy, and Delivering Coordinated Care from Preconception through Postpartum.
Pregnancy stresses the heart and circulatory system. During pregnancy, blood volume increases by 30 to 50 percent. The amount of blood the heart pumps each minute also increases by 30 to 50 percent, and heart rate increases as well. These changes cause the heart to work harder, as do labor and delivery. This issue covers diagnosis and treatment of cardiac symptoms and cardiac emergencies during pregnancy.
Pregnancy stresses the heart and circulatory system. During pregnancy, blood volume increases by 30 to 50 percent. The amount of blood the heart pumps each minute also increases by 30 to 50 percent, and heart rate increases as well. These changes cause the heart to work harder, as do labor and delivery. This issue covers diagnosis and treatment of cardiac symptoms and cardiac emergencies during pregnancy.
This issue of Cardiology Clinics, curated by Dr. Melinda Davis and Dr. Kathryn Lindley, will explore topics related to Pregnancy and Heart Disease. This issue is one of four selected each year by the series editorial board: Jamil A. Aboulhosn, David M. Shavelle, Terrence D. Welch, and Audrey H. Wu. Topics in this volume include, but are not limited to, Cardiovascular Contribution to Maternal Mortality, Risk stratification and The Pregnancy Heart Team, Cardiovascular Testing in Pregnant Women, Obstetric Considerations and Delivery Planning, Adult Congenital Heart Disease, Aortopathies and Vascular Disease, Arrhythmias, Hypertensive Disorders of Pregnancy, Ischemic Heart Disease, Pulmonary Arterial Hypertension, Peripartum Cardiomyopathy ̧ Hypertrophic Cardiomyopathy, Valvular Heart Disease, Medication Safety during Pregnancy, and Delivering Coordinated Care from Preconception through Postpartum.
A practical manual to aid the management of women with heart disease who are pregnant or who are considering pregnancy, Heart Disease in Pregnancy also provides an introduction to the physiological changes of pregnancy and the relevant obstetric knowledge and processes needed for a cardiologist to successfully manage a pregnant woman.
The impact of cardiovascular disease on an infant extends from the fetal period to well beyond childhood. Perinatalogists and neonatologists can impact maternal and fetal health through wide range of diagnostic modalities and interventional techniques. For our edition focused on cardiovascular health, we sought to encompass the breadth of knowledge that would be the most relevant for the bed side clinician. Our goal was to assemble contents that would allow a clinician to quickly peruse the journal, and then be prepared to make a medical decision. The interaction between cardiology and perinatology/neonatology includes genetics, diagnostics, interventions, counseling, routine stabilization and day to day care. Ultimately, the goal is to establish the foundation for a healthy adult. For this reason, we have even included chapters on topics that are significant on a day to day basis (such as the proper environment for a newborn) and a long term basis (like the overall neurodevelopmental impact of our interventions). Hopefully, whether in the middle of the night as an emergency reference or during the day as a reliable guide, this edition of Clinics in perinatology will be an important bedside tool for anyone that participates in the care of a patient with perinatal heart disease.
Cardiac Problems in Pregnancy offers clinicians the most detailed and comprehensive guide to diagnosing and managing pregnancy-associated cardiovascular diseases currently available. Covering a wide spectrum of congenital and acquired cardiovascular conditions, its extensive contents examine diseases of the heart with an expert awareness of the implications of pregnancy and the attendant physiological changes it brings. Such guidance is vitally required in an age in which congenital and acquired heart diseases are the leading causes of non-obstetrical maternal morbidity and mortality. Featuring 36 new or extensively revised chapters, this fourth edition of the book complements coverage of the latest research and clinical advances with a complete and up-to-date bibliography of literature on pregnancy in women with cardiovascular conditions. It also serves as a practical, step-by-step companion for those caring for heart disease patients during pregnancy, labor, and the post-partum period. Contents include: Coverage of all elements of maternal cardiology Newly written chapters featuring fresh research and data Guidance on performing risk assessments and interventions both prior to and during gestation Explanations of a range of diagnostic and therapeutic approaches to cardiovascular disease in pregnant patients Drawing on expertise from across the fields of cardiovascular medicine, obstetrics, anesthesiology, cardiac surgery, pharmacology, and clinical science, Cardiac Problems in Pregnancy is designed to give invaluable support to all medical professionals involved in maximizing the safety and success of cardiologically complex pregnancies.
This comprehensive and authoritative text on heart disease in pregnancy - one of the leading causes of maternal death - will be of value to a wide audience of obstetricians, cardiologists, anaesthetists, midwives, and cardiac nurses. It provides consensus guidelines of great practical value in a compact and convenient format. Written by a multidisciplinary team, it covers both maternity and cardiac care. Contents range from pre-conception counselling and contraception, through practical templates for antenatal and intrapartum care, to long-term outcome for both mother and baby. It covers all causes of heart disease, both congenital and acquired. Thoroughly updated, this new edition has reorganised the consensus statements about priorities in management. In addition, each chapter now starts with a summary of 'Practical Practice Points' to aid quick revision when seeing a patient with a specific problem. A new section on heart and lung transplantation has been added since the first edition.
This book describes the risks facing patients with congenital heart disease who wish to become pregnant and the ways in which these patients can best be followed and treated during pregnancy. In addition, the organization of care around the delivery is discussed in detail. The first section provides clear advice on pre-pregnancy risk estimation, counseling of patients, medication use, and inheritance. The specific risks associated with congenital heart defects of differing severity are then explained, with guidance on monitoring and management. The coverage includes simple lesions such as atrial and ventricular septal defects, conditions associated with moderate risk, including tetralogy of Fallot and coarctation, and complex disease such as a Fontan or Mustard repair. The final section is devoted to delivery and considers the mode of delivery, anesthetic use, and postpartum care. Readers will find much information that is underreported in the literature, and the book goes well beyond the European Society of Cardiology guidelines, for example, by considering medical conditions not defined as high risk and addressing the organization of care thoroughly.
This issue of Cardiology Clinics, guest edited by Drs. Marie-Annick Clavel and Philippe Pibarot, focuses on Aortic Valve Disease. Articles in this issue include, but are not limited to: Pathophysiology of Aortic Stenosis and future perspectives for medical therapy, Assessment of Aortic Stenosis Severity, Assessment of Cardiac Damage in Aortic stenosis, Aortic Stenosis with Other Concomitant Valvular Disease (AR, MR, TR), Biomarker in Aortic Stenosis, Aortic stenosis guidelines: evidence gaps and changing concepts, Heart Valve Clinics and Heart Valve Centers, Frailty and Multi-Comorbidities in Aortic Stenosis, Procedures and Outcomes of Surgical Aortic Valve Replacement, Patient selection and Work-up for Transcatheter Aortic Valve Replacement, Procedures and Outcomes of Transcatheter Aortic Valve Replacement, Sex differences in the Pathophysiology, Diagnosis, and Management of Aortic Stenosis, Implications of Aortic stenosis in Pregnancy and Non-Cardiac Surgery.