Abstract:
:To varying extents, women with pre-existing cardiomyopathies have a limited cardiovascular reserve. The hemodynamic challenges of pregnancy, labor, and delivery pose unique risks to this group of patients, which can result in clinical decompensation with overt heart failure, arrhythmias, and rarely, maternal death. A multidisciplinary team approach and a controlled delivery are crucial to adequate management of patients with underlying heart disease. Pre-conception planning and risk assessment are essential, and proper counseling should be offered to expectant mothers with regard to both the risks that pregnancy poses and the implications for future offspring. In this article, we will review the hemodynamic stressors that pregnancy places upon women with pre-existing cardiomyopathies and risk assessment and discuss what evidence exists with regard to the management of 2 forms of cardiomyopathy during pregnancy, labor, and delivery: dilated and hypertrophic cardiomyopathy.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Stergiopoulos K,Shiang E,Bench Tdoi
10.1016/j.jacc.2011.04.014subject
Has Abstractpub_date
2011-07-19 00:00:00pages
337-50issue
4eissn
0735-1097issn
1558-3597pii
S0735-1097(11)01581-6journal_volume
58pub_type
杂志文章,评审abstract:OBJECTIVES:The purpose of the study is to identify the predictors of clinical outcome (mortality and survival without repeat septal reduction procedures) of alcohol septal ablation for the treatment of patients with hypertrophic obstructive cardiomyopathy. BACKGROUND:Alcohol septal ablation is used for treatment of me...
journal_title:Journal of the American College of Cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2011-11-22 00:00:00
abstract:OBJECTIVES:We investigated whether three platelet gene polymorphisms, Pl(A1/A2), C807T, and C-5T Kozak (encoding, respectively, for platelet membrane glycoproteins (GP) IIIa, GP Ia/IIa, GP Ibalpha), could contribute to the resistance to a low dose of aspirin (160 mg/day). BACKGROUND:Aspirin antiplatelet effect is not ...
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doi:10.1016/0735-1097(89)90053-3
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更新日期:2003-01-01 00:00:00
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journal_title:Journal of the American College of Cardiology
pub_type: 杂志文章
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更新日期:1987-09-01 00:00:00
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更新日期:1988-10-01 00:00:00
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更新日期:2013-11-19 00:00:00
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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journal_title:Journal of the American College of Cardiology
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journal_title:Journal of the American College of Cardiology
pub_type: 杂志文章
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更新日期:1995-07-01 00:00:00
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