Medical Management

Cardiovascular disease (CVD) is the major cause of morbidity and mortality for individuals with diabetes and is the largest contributor to the direct and indirect costs of diabetes. The common conditions coexisting with type 2 diabetes (e.g., hypertension and dyslipidemia) are clear risk factors for CVD, and diabetes itself confers independent risk. Pregnancy makes a significant demand on the cardiovascular system. Therefore, it follows that  women with cardiovascular compromise due to cardiac disease need specialist input and careful management pre-, peri-, and post-partum.

Numerous studies have shown the efficacy of controlling individual cardiovascular risk factors in preventing or slowing CVD in people with diabetes. In the latest CEMACH report, cardiac disease was the most common cause of indirect maternal deaths and the most common cause of death overall. In particular, during 2003-05, there was an increase in deaths due to myocardial infarction, thoracic aortic dissection, and rheumatic mitral stenosis.

  • Medical management of heart disease during pregnancy
  • Medical management of coronary artery disease
  • Medical management for diabetic patient

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