Cardiac disease and pregnancy

A. F. Gei, Gary Hankins

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

The pregnant state imposes a supraphysiologic strain on the pregnant woman's cardiac performance through complex biochemical, electric, and physiologic changes affecting the blood volume, myocardial contractility, and resistance of the vascular bed. In the presence of underlying heart disease, these changes can compromise the woman's hemodynamic balance, her life, and that of her unborn child. Cardiac pathology represents a heterogeneous group of disorders, each with its own hemodynamic, genetic, obstetric, and social implications. Physicians caring for these women should actively address the issue of reproduction. Ideally, pregnancy should be planned to occur after optimization of cardiac performance by medical or surgical means. Once pregnancy is achieved, the concerted effort of a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, nursing, social, and other services provides the best opportunity to carry the pregnancy to a successful outcome.

Original languageEnglish (US)
Pages (from-to)465-512
Number of pages48
JournalObstetrics and Gynecology Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - 2001

Fingerprint

Heart Diseases
Pregnancy
Hemodynamics
Women Physicians
Blood Volume
Social Work
Vascular Resistance
Obstetrics
Reproduction
Pregnant Women
Nursing
Pathology
Anesthesiologists
Cardiologists

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Cardiac disease and pregnancy. / Gei, A. F.; Hankins, Gary.

In: Obstetrics and Gynecology Clinics of North America, Vol. 28, No. 3, 2001, p. 465-512.

Research output: Contribution to journalArticle

Gei, A. F. ; Hankins, Gary. / Cardiac disease and pregnancy. In: Obstetrics and Gynecology Clinics of North America. 2001 ; Vol. 28, No. 3. pp. 465-512.
@article{b7dbb2b349a74612bf84c2fe173025a0,
title = "Cardiac disease and pregnancy",
abstract = "The pregnant state imposes a supraphysiologic strain on the pregnant woman's cardiac performance through complex biochemical, electric, and physiologic changes affecting the blood volume, myocardial contractility, and resistance of the vascular bed. In the presence of underlying heart disease, these changes can compromise the woman's hemodynamic balance, her life, and that of her unborn child. Cardiac pathology represents a heterogeneous group of disorders, each with its own hemodynamic, genetic, obstetric, and social implications. Physicians caring for these women should actively address the issue of reproduction. Ideally, pregnancy should be planned to occur after optimization of cardiac performance by medical or surgical means. Once pregnancy is achieved, the concerted effort of a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, nursing, social, and other services provides the best opportunity to carry the pregnancy to a successful outcome.",
author = "Gei, {A. F.} and Gary Hankins",
year = "2001",
doi = "10.1016/S0889-8545(05)70214-X",
language = "English (US)",
volume = "28",
pages = "465--512",
journal = "Obstetrics and Gynecology Clinics of North America",
issn = "0889-8545",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Cardiac disease and pregnancy

AU - Gei, A. F.

AU - Hankins, Gary

PY - 2001

Y1 - 2001

N2 - The pregnant state imposes a supraphysiologic strain on the pregnant woman's cardiac performance through complex biochemical, electric, and physiologic changes affecting the blood volume, myocardial contractility, and resistance of the vascular bed. In the presence of underlying heart disease, these changes can compromise the woman's hemodynamic balance, her life, and that of her unborn child. Cardiac pathology represents a heterogeneous group of disorders, each with its own hemodynamic, genetic, obstetric, and social implications. Physicians caring for these women should actively address the issue of reproduction. Ideally, pregnancy should be planned to occur after optimization of cardiac performance by medical or surgical means. Once pregnancy is achieved, the concerted effort of a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, nursing, social, and other services provides the best opportunity to carry the pregnancy to a successful outcome.

AB - The pregnant state imposes a supraphysiologic strain on the pregnant woman's cardiac performance through complex biochemical, electric, and physiologic changes affecting the blood volume, myocardial contractility, and resistance of the vascular bed. In the presence of underlying heart disease, these changes can compromise the woman's hemodynamic balance, her life, and that of her unborn child. Cardiac pathology represents a heterogeneous group of disorders, each with its own hemodynamic, genetic, obstetric, and social implications. Physicians caring for these women should actively address the issue of reproduction. Ideally, pregnancy should be planned to occur after optimization of cardiac performance by medical or surgical means. Once pregnancy is achieved, the concerted effort of a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, nursing, social, and other services provides the best opportunity to carry the pregnancy to a successful outcome.

UR - http://www.scopus.com/inward/record.url?scp=0034883940&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034883940&partnerID=8YFLogxK

U2 - 10.1016/S0889-8545(05)70214-X

DO - 10.1016/S0889-8545(05)70214-X

M3 - Article

C2 - 11512497

AN - SCOPUS:0034883940

VL - 28

SP - 465

EP - 512

JO - Obstetrics and Gynecology Clinics of North America

JF - Obstetrics and Gynecology Clinics of North America

SN - 0889-8545

IS - 3

ER -