Heart Disease in Pregnancy

The new edition of this practical guide draws on the clinical skills of a wide range of international experts to help you recognize and manage heart disease in pregnancy. Designed for on-the-spot use, this convenient and concise text helps you identify a cardiac problem, understand its pathophysiology, and respond appropriately.

Under the careful editorial direction of Drs. Oakley and Warnes, the Second Edition introduces new contributors from North America and Europe as well as new chapters on:

• pulmonary hypertension
• rheumatic heart disease
• artificial heart valves
• Marfan syndrome
• auto-immune diseases
• hypertrophic cardiomyopathy
• rhythm disorders
• hypertension
• cardiac intervention

The entire book is scrupulously updated to reflect the most current standards of care. The contributors – all recognized leaders in their respective fields – outline the pathway to diagnosis and appropriate management by a multi-disciplinary team.

Although heart disease is the leading medical cause of maternal death, clinical trials in this population are few and the evidence base is small. The expert recommendations in Heart Disease in Pregnancy, Second Edition, are a welcome source of information for cardiologists, obstetricians, general practitioners, and all members of the patient care team.

Contributors, vii

Preface, x

Acknowledgments, xi

1 Overview, 1

Celia Oakley

2 Physiological changes in pregnancy, 6

Candice K Silversides, Jack M Colman

3 Cardiovascular examination in pregnancy and the approach to diagnosis of cardiac disorder, 18

Petros Nihoyannopoulos

4 Acyanotic congenital heart disease, 29

Heidi M Connolly, Celia Oakley

5 Cyanotic congenital heart disease, 43

Carole A Warnes

6 Pregnancy and pulmonary hypertension, 59

Joseph G Parambil, Michael D McGoon

7 Rheumatic heart disease, 79

Bernard Iung

8 Mitral valve prolapse, 96

Bernard Iung

9 Artificial heart valves, 104

James R Trimm, Lynne Hung, Shahbudin H Rahimtoola Copyrighted Material

10 Management of pregnancy in Marfan syndrome, Ehlers–Danlos syndrome and other heritable connective tissue disorders, 122

Lilian J Meijboom, Barbara JM Mulder

11 Heart disease, pregnancy and systemic autoimmune diseases, 136

Guillermo Ruiz-Irastorza, Munther A Khamashta, Graham RV Hughes

12 Pulmonary disease and cor pulmonale, 151

Claire L Shovlin, Anita K Simonds, JMB Hughes

13 Hypertrophic cardiomyopathy and pregnancy, 173

Jorge R Alegria, Rick A Nishimura

14 Peripartum cardiomyopathy, other heart muscle disorders and pericardial diseases, 186

Celia Oakley

15 Coronary artery disease, 204

Celia Oakley

16 Heart rhythm disorders, 217

David Lefroy, Dawn Adamson

17 Pulmonary embolism, 243

Celia Oakley

18 Hypertensive disorders of pregnancy, 264

Alexander Heazell, Philip N Baker

19 Management of labour and delivery in the high-risk patient, 281

Kirk D Ramin

20 Anesthesia and the pregnant cardiac patient, 290

Gurinder Vasdev

21 Cardiac percutaneous intervention and surgery during pregnancy, 304

Patrizia Presbitero, Giacomo Boccuzzi, Felice Bruno

22 Genetic counseling, 316

Michael A Patton

23 Contraception for the cardiac patient, 327

Philip J Steer

Index, 343

"Heart Disease in Pregnancy appropriately emphasizes the importance of multidisciplinary care and would be of interest to cardiologists, obstetricians, obstetric physicians, anaesthetists and midwives." (Obstetric Medicine, February 2009)

“This second edition is an excellent review of the modern management of heart disease in pregnant patients, written by specialists from multiple disciplines.”
Doody’s Review Service

“Concise portable text that incorporates the views and practices of international experts to aid the reader ….The highly readable text has a logical framework.”
Circulation

“Well written and easy to read … .The editors and authors should be congratulated for producing an excellent book that should be extremely helpful.” New England Journal of Medicine

Celia Oakley, former Professor of Cardiology, Hammersmith Hospital, UK

Carole Warnes, Professor of Cardiology, Mayo Clinic, Rochester, Minnesota, USA

The new edition of this practical guide draws on the clinical skills of a wide range of international experts to help you recognize and manage heart disease in pregnancy. Designed for on-the-spot use, this convenient and concise text helps you identify a cardiac problem, understand its pathophysiology, and respond appropriately.

Under the careful editorial direction of Drs. Oakley and Warnes, the Second Edition introduces new contributors from North America and Europe as well as new chapters on:

• 
  
• pulmonary hypertension
  
• rheumatic heart disease
  
• artificial heart valves
  
• Marfan syndrome
  
• auto-immune diseases
  
• hypertrophic cardiomyopathy
  
• rhythm disorders
  
• hypertension
  
• cardiac intervention

The entire book is scrupulously updated to reflect the most current standards of care. The contributors – all recognized leaders in their respective fields – outline the pathway to diagnosis and appropriate management by a multi-disciplinary team.

Although heart disease is the leading medical cause of maternal death, clinical trials in this population are few and the evidence base is small. The expert recommendations in Heart Disease in Pregnancy, Second Edition, are a welcome source of information for cardiologists, obstetricians, general practitioners, and all members of the patient care team.