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Titolo:
Management of the critically ill cardiac patient
Autore:
Naidoo, DP; Moodley, J;
Indirizzi:
Univ Natal, Sch Med, King Edward VIII Hosp, Dept Med,Cardiac Unit, ZA-4001Durban, South Africa Univ Natal Durban South Africa ZA-4001 Unit, ZA-4001Durban, South Africa Univ Natal, Nelson R Mandela Sch Med, Dept Obstet & Gynaecol, ZA-4001 Durban, South Africa Univ Natal Durban South Africa ZA-4001 col, ZA-4001 Durban, South Africa
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 4, volume: 15, anno: 2001,
pagine: 523 - 544
SICI:
1521-6934(200108)15:4<523:MOTCIC>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY PULMONARY-HYPERTENSION; BALLOON MITRAL VALVOTOMY; MECHANICAL HEART-VALVES; PERIPARTUM CARDIOMYOPATHY; PREGNANT-WOMEN; MYOCARDIAL-INFARCTION; TAKAYASUS-DISEASE; VASCULAR-DISEASE; SOUTH-AFRICA; FETAL;
Keywords:
mitral stenosis; valvular heart disease; ischaemic heart disease; pulmonary hypertension; puerperal cardiomyopathy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
71
Recensione:
Indirizzi per estratti:
Indirizzo: Naidoo, DP Univ Natal, Sch Med, King Edward VIII Hosp, Dept Med,Cardiac Unit, ZA-4001Durban, South Africa Univ Natal Durban South Africa ZA-4001 01Durban, South Africa
Citazione:
D.P. Naidoo e J. Moodley, "Management of the critically ill cardiac patient", BEST P R CL, 15(4), 2001, pp. 523-544

Abstract

The decline in rheumatic fever has made heart disease in pregnancy an uncommon problem in the developed world but it remains an important cause of maternal morbidity and mortality in developing countries. Pregnancy is particularly dangerous in the presence of cyanotic congenital heart disease, Eisenmenger's syndrome, primary pulmonary hypertension, Marfan's syndrome, dilated cardiomyopathy and significant mitral stenosis. Severe stenosis is often complicated by pulmonary hypertension and atrial fibrillation. Maternal disease status should be determined using echocardiography to define cardiac anatomy, assess ventricular function and estimate intracardiac pressure gradients. Patients in the New York Heart Association functional classes 1 and 2 generally have a favourable outcome. Closed mitral commissurotonny is safe and effective in relieving stenosis across the mitral valve in selected patients. More recently the technique of percutaneous balloon mitral valvotomy has successfully been used in the treatment of mitral stenosis. Termination of pregnancy is advised in patients with severe pulmonary hypertension, including Eisenmenger's syndrome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 18:27:47