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Pathophysiology and Pharmacotherapy of Cardiovascular Disease pp 1293–1313Cite as

Cardiac Disease in Pregnancy

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Abstract

An increasing number of women with complex cardiac disease are becoming pregnant which brings challenges for cardiologists, obstetricians and anaesthetists. Assessing risk and counselling patients prior to pregnancy is important; however, often women have unplanned pregnancies, or their cardiac condition is not diagnosed until during pregnancy. Normal pregnancy requires the mother to mount profound cardiovascular physiological changes, which can increase the risk of cardiac decompensation in women with underlying cardiac disease. Close monitoring by specialist multidisciplinary teams and detailed planning are essential to reduce both maternal and foetal risk. Changing patient demographics mean that there is an increase in women with complex congenital heart disease who require careful pre-conceptual evaluation and planning for their pregnancies. Another emerging problem is that of an increasing prevalence of atherosclerotic ischaemic heart disease in women of child-bearing years. Various risk stratification classifications are available to aid the clinician and patient alike. Management for most conditions remains close to that of the non-pregnant population, but risks associated with cardiovascular and obstetric drugs need to be borne in mind.

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Author information

Authors and Affiliations

  1. Cardiovascular Clinical Research Facility, Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, UK

    Henry Boardman MBBS, BSc

  2. Department of Obstetric Medicine, University of Oxford, Women’s Centre, Oxford University Hospitals NHS Trust, John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, UK

    Lucy Mackillop MD

Authors
  1. Henry Boardman MBBS, BSc
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  2. Lucy Mackillop MD
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Correspondence to Henry Boardman MBBS, BSc .

Editor information

Editors and Affiliations

  1. Center for Drug Evaluation and Research Division of Cardiovascular and Renal Products, US Food and Drug Administration, Silver Spring, Maryland, USA

    Gowraganahalli Jagadeesh

  2. Pharmacology Unit, AIMST University, Bedong, Malaysia

    Pitchai Balakumar

  3. Center for Drug Evaluation and Research Division of Cardiovascular and Renal Products, US Food and Drug Administration, Silver Spring, Maryland, USA

    Khin Maung-U

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© 2015 Springer International Publishing Switzerland

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Boardman, H., Mackillop, L. (2015). Cardiac Disease in Pregnancy. In: Jagadeesh, G., Balakumar, P., Maung-U, K. (eds) Pathophysiology and Pharmacotherapy of Cardiovascular Disease. Adis, Cham. https://doi.org/10.1007/978-3-319-15961-4_60

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  • DOI: https://doi.org/10.1007/978-3-319-15961-4_60

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-15960-7

  • Online ISBN: 978-3-319-15961-4

  • eBook Packages: MedicineMedicine (R0)

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