Recognition and management of maternal cardiac disease in pregnancy

摘要: Heart disease is a leading cause of maternal death. The aim this study to review the most common causes cardiac disease, highlight factors that should be recognized by clinician, and address recent advances in anaesthetic management these patients. Incipient including peripartum cardiomyopathy, myocardial infarction aortic dissection, accounts for approximately one six deaths. keys successful diagnosis incipient are: high index suspicion, particularly women with known risk cardiovascular disease; low threshold radiological investigations; early cardiology input; invasive monitoring during labour delivery. Echocardiography safe, non-invasive test, under-used pregnancy. Management pregnant pre-existing problems undertaken multidisciplinary teams tertiary centres. In wishing proceed term, status must optimized preoperatively planned elective delivery preferable. Vaginal preferable, careful incremental regional anaesthesia safe disease. presence adequate systems detection, appropriate referral specialist centres, timely support can minimize serious consequences poorly controlled heart