Heart Disease in Pregnancy

Front Cover
Dawn Adamson, Mandish Dhanjal, Catherine Nelson-Piercy
OUP Oxford, Mar 17, 2011 - Medical - 345 pages
All cardiologists will be called on to assess and manage pregnant women, however the majority have had little or no training in the subject. In the same way, obstetricians assess women with cardiac conditions, and therefore require the knowledge to both refer patients with heart disease as well as to manage them through the pregnancy. However a recent enquiry into maternal deaths has highlighted that morbidity and mortality of women with heart disease in pregnancy has continued to increase over the last 15 years and substandard care has been identified in 40% of cases. Recommendations have been made that women with, or at risk of, heart disease are screened and counselled on the appropriate risks of undergoing a pregnancy, and as a result all physicians involved need a good understanding of the subject and access to the relevant information. A concise handbook written for cardiology and obstetric trainees and consultants, as well as specialist nurses and midwives, Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are pregnant or who are considering pregnancy. It also provides the relevant obstetric knowledge and processes needed for a cardiologist to successfully manage a pregnant woman.
 

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Contents

1 Physiological changes in pregnancy
1
2 The normal cardiac examination in pregnancy
13
3 Investigations in pregnancy
21
4 Ischaemic heart disease
57
5 Native valvular heart disease
77
6 Infective endocarditis
93
7 Pregnancy post cardiac surgery
99
8 Cardiac surgery in pregnancy
113
15 Hypertension
191
16 Thromboembolic disease
203
17 Anticoagulation in pregnancy
221
18 Cardiac emergencies in pregnancy
233
19 Pharmacology in pregnancy
249
20 The multidisciplinary team management of heart disease in pregnancy
261
21 Epidemiology of heart disease in pregnancy
265
22 Prepregnancy counselling
271

9 Arrhythmias
117
10 Cardiomyopathies
137
11 Pulmonary hypertension
151
12 Aortic pathology
155
13 Cyanotic heart disease
165
14 Acyanotic congenital heart disease
177
23 Contraception
287
24 Obstetric care for the nonobstetrician
303
25 Assisted reproduction techniques and surrogacy
313
26 Obstetric anaesthesia and cardiac disease
327
Index
337
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About the author (2011)

Dr. Dawn Adamson is Consultant Interventional and Obstetric Cardiologist at the University Hospitals of Coventry and Warwickshire, UK. Mandish Dhanjal is Consultant Obstetrician at Queen Charlotte's Hospital, Imperial College NHS Trust, London, UK. Dr. Catherine Nelson-Piercy is ConsultantObstetric Physician at St Thomas' Hospital, Guys and St Thomas' Hospital Trust, UK.

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