alexa Acute Management of Cardiac Complications in Pregnancy
ISSN: 2161-0932

Gynecology & Obstetrics
Open Access

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Review Article

Acute Management of Cardiac Complications in Pregnancy

Siamak Moayedi*

University of Maryland School of Medicine, USA

*Corresponding Author:
Siamak Moayedi
University of Maryland School of Medicine, USA
Tel: 4107965244
E-mail: [email protected]

Received date: July 01, 2014; Accepted date: September 11, 2014; Published date: September 15, 2014

Citation: Moayedi S (2014) Acute Management of Cardiac Complications in Pregnancy. Gynecol Obstet (Sunnyvale) 4:245. doi:10.4172/2161-0932.1000245

Copyright: © 2014 Moayedi S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Cardiac disease complicates more than 1% of pregnancies in the US and causes 20% of non-obstetrical deaths. The increase of heart disease in pregnancy is attributed to increased rates of obesity, hypertension and diabetes, in addition to the survival of women with congenital heart disease to maternal age. Furthermore, women are increasingly postponing pregnancy until the fourth decade of life. These factors increase the incidence of cardiac disease complicating pregnancy. In developed countries, cardiomyopathies, structural heart diseases, pulmonary hypertension, acute myocardial infarction and conduction abnormalities are the leading cardiac causes of maternal mortality.

The physiologic changes that occur during pregnancy lead to increases in preload, cardiac output, blood volume and oxygen consumption. Such changes can unmask, worsen or induce cardiac dysfunction. The diagnosis of cardiac decompensation is often difficult to make because complaints of shortness of breath, peripheral edema and chest pain can be attributed to normal pregnancy. The times of greatest risk for cardiac disease during pregnancy are the third trimester, peripartum and immediate postpartum periods.

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