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CONGENITAL HEART DISEASE
Cardiac Disease in Pregnancy: Congenital Heart Disease ,[object Object],Lesions with volume overload Lesions with obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atrial Septal Defect ,[object Object],[object Object]
Source :Wikimedia Commons
Ultrasound picture of the heart, an echocardiogram.  It depicts a atrial septal defect, of the ostium secundum type Source :Wikimedia Commons
Ventricular Septal Defect ,[object Object],[object Object],[object Object],[object Object]
Source :Wikimedia Commons Ventricular septal defect
Ventricular septal defect Source :Wikimedia Commons
VSD in Pregnancy ,[object Object],[object Object],[object Object]
Patent Ductus Arteriosus ,[object Object],[object Object]
Source :Wikimedia Commons PDA
Cyanotic heart disease
Tetralogy of Fallot ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Source :Wikimedia Commons
Digital clubbing with cyanotic nail beds in and tetralogy of Fallot Source :Wikimedia Commons
[object Object],[object Object],[object Object],[object Object],Tetralogy of Fallot
Tetralogy of Fallot ,[object Object],[object Object],[object Object],[object Object]
Eisenmenger Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clubbing secondary to pulmonary hypertension in a patient with Eisenmenger's syndrome Source :Wikimedia Commons
Coarctation of the Aorta ,[object Object],[object Object],[object Object],[object Object]
Schetch showing heart with coarctation of the aorta Coarctation of the aorta Source :Wikimedia Commons
[object Object],[object Object],[object Object],[object Object],Coarctation of the Aorta
PULMONARY HYPERTENSION ,[object Object]
 
Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object]
Pulmonary Hypertension and Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER CARDIOVASCULAR CONDITIONS
Mitral Valve Prolapse ,[object Object],[object Object],[object Object],[object Object]
Peripartum Cardiomyopathy ,[object Object],[object Object],[object Object],[object Object],In 1997, the National Heart, Lung, and Blood Institute and the Office of Rare Diseases convened a workshop that established the following diagnostic criteria (Pearson and associates, 2000): Persistence > 6 months postpartum carries a bad prognosis
Idiopathic Cardiomyopathy in Pregnancy ,[object Object],[object Object],[object Object]
FIGURE 44-3 Cardiomyopathy with mild pulmonary edema. Anterior-posterior projection chest radiograph of a woman with an abnormally enlarged heart ( black arrows) and mild perihilar opacification consistent with dilated cardiomyopathy.
Management. Therapy consists of treatment for heart failure ,[object Object],[object Object],[object Object]
Long-Term Prognosis There seems to be no doubt that women with peripartum cardiomyopathy who regain ventricular function within 6 months have a good prognosis (Lampert and associates, 1997).
Hypertrophic Cardiomyopathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infective Endocarditis ,[object Object]
 
Obstetrical Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arrhythmias ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bradyarrhythmias ,[object Object],[object Object],[object Object],[object Object]
 
Tachyarrhythmias ,[object Object],[object Object],[object Object],[object Object]
 
Paroxysmal Supra Ventricular Tachycardia (PSVT) ,[object Object],[object Object],[object Object]
Atrial Fibrillation (AF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atrial Fibrillation (AF) ,[object Object],[object Object],[object Object],[object Object]
Atrial Fibrillation: Treatment ,[object Object],[object Object],[object Object],[object Object]
Atrial flutter or fibrillation ,[object Object],[object Object],[object Object]
 
QT-interval prolongation ,[object Object],[object Object],[object Object],[object Object]
Marfan Syndrome ,[object Object],[object Object]
Marfan ‘s Syndrome:  A condition, due to a defect in fibrillin (an essential component of elastic fibers), in which myxomatous degeneration is common.
[object Object],[object Object],[object Object],Marfan Syndrome
[object Object],Marfan Syndrome
Ischemic Heart Disease ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Ischemic Heart Disease
[object Object],[object Object],[object Object],Ischemic Heart Disease
[object Object],[object Object],Ischemic Heart Disease

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