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Heart disease in pregnancy

Heart disease in pregnancy

Heart disease is present in a small number of pregnant women during pregnancy. But the nearly 2% of pregnant women who suffer from heart disease have concerns because they affect the growth and development of the fetus. The risks of maternal or fetal death are increased in the case of cardiovascular diseases present in pregnancy.

Heart failure in pregnancy

Heart failure is a rare condition in pregnancy and is caused by peri-partum cardiomyopathy. This disease is characterized by the inability of the heart to pump blood with sufficient force due to the fact that the muscles that play this role are weak.

Especially women who are born with congenital heart disease have the highest risk of developing heart failure during pregnancy or afterwards. Pregnancy and childbirth put great pressure on the heart, and it must "work" up to 50% more than usual. In general, insufficiency occurs in the left ventricle of the heart.

There are very high risks when the pregnant woman suffers from cardiovascular disease, death being one of them. It is quite difficult to diagnose during pregnancy, because most of the symptoms resemble those of pregnancy:

  • swelling of the limbs;

  • palpitations;

  • fatigue;

  • breathing difficulties etc.

The condition is treated with medication. Other times, premature birth is needed to treat the condition. Depending on the evolution of the disease after birth, doctors may recommend surgery.

Eisenmenger syndrome

It is a condition that includes several symptoms:

  • cyanosis (the blue color of the skin);

  • pulmonary hypertension;

  • fatigue;

  • chest pains;

  • palpitations;

  • dizziness;

  • headache;

  • blurry vision;

  • erythrocytosis etc.

This syndrome is especially present in women who are born with congenital heart disease. It occurs in those who have large (left-right) congenital heart surgeries or have arisen following surgery.

Women with this syndrome should avoid pregnancy at any cost. They are not allowed to become pregnant due to the extremely high risks. Doctors believe that the risk of maternal death exceeds 50%, and if the pregnant woman survives, the baby may not. There is a 25% chance that the baby will die in the womb during pregnancy. Also, many specialists even recommend tying the uterus to be sure to avoid pregnancy.

There are a lot of complications that can occur:

  • blood clots;

  • bleeding;

  • heart;

  • renal insufficiency;

  • endocarditis etc.

Unfortunately, women who are not diagnosed before pregnancy with this syndrome are forced to undergo therapeutic abortion when the pregnancy is in its infancy.

endocarditis

Endocarditis is a condition characterized by an inflammation or infection of the endocardium (inner lining of the heart) in the heart valve region.

This infection occurs when bacteria or germs from other parts of the body spread to the bloodstream and affect areas (muscles and tissues) of the heart. It is especially present in women who already have heart problems. If left untreated it can lead to death.

The incidence of this condition during pregnancy is extremely low, well below 1%. She is usually screened before she becomes pregnant. In cases in which the disease occurs during pregnancy, the maternal mortality rate rises to 33% and the fetal death rate to 20%.

It is mainly characterized by fever and heart murmur. Therefore, doctors argue that pregnant women who manifest these symptoms should be taken under close supervision and under investigation.

Early and early detection of endocardium is essential in reducing the risk of fetal and maternal death by administering appropriate treatment,

Tags Heart disease pregnancy Heart disease