Pregnancy course and perinatal outcomes in women with congenital heart valve disease
Aim. To assess the pregnancy course and perinatal outcomes in women with congenital heart valve disease (CHVD).Material and methods. In total, 150 medical histories of pregnant women with corrected CHVD (CCHVD; n=61) and non-corrected CHVD (NCHVD; n=89) were retrospectively analysed. All women gave...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2009-08-01
|
| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1362 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839578131437977600 |
|---|---|
| author | Yu. V. Bukhonkina1 R. I. Stryuk G. V. Chizhova V. B. Nemirovsky |
| author_facet | Yu. V. Bukhonkina1 R. I. Stryuk G. V. Chizhova V. B. Nemirovsky |
| author_sort | Yu. V. Bukhonkina1 |
| collection | DOAJ |
| description | Aim. To assess the pregnancy course and perinatal outcomes in women with congenital heart valve disease (CHVD).Material and methods. In total, 150 medical histories of pregnant women with corrected CHVD (CCHVD; n=61) and non-corrected CHVD (NCHVD; n=89) were retrospectively analysed. All women gave birth at the specialised maternity centre in Moscow and the perinatal centre in Khabarovsk.Results. The features of CHVD in pregnant women reflected the population patterns and were represented by interventricular and interatrial septal defects, aortal coarctation, open arterial duct, pulmonary artery stenosis, and corrected “blue” heart valve disease. Approximately 20% of the women learnt about their disease during the current pregnancy. In most women, the pregnancy course was uncomplicated, but in 9,8% (n=6) of CCHVD and 14,8% (n=13) of NCHVD women, heart failure (HF) symptoms developed and progressed at Weeks 28-32, when the hemodynamic load on cardiovascular system is maximal. Hospitalization and adequate treatment of these patients improved their clinical status and prolonged the pregnancy up to physiological terms. Over 50% of the women had cesarean delivery, despite no evidence of cardiovascular decompensation.Conclusion. The first delivery in most women with CCHVD and NCHVD took place at young age. Cardiovascular decompensation was registered at Weeks 28-32, when the hemodynamic load is maximal. |
| format | Article |
| id | doaj-art-84c4758b6f7d4e24b1b58d9bea7ea7a3 |
| institution | Matheson Library |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2009-08-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-84c4758b6f7d4e24b1b58d9bea7ea7a32025-08-04T12:50:14Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252009-08-018844481072Pregnancy course and perinatal outcomes in women with congenital heart valve diseaseYu. V. Bukhonkina10R. I. Stryuk1G. V. Chizhova2V. B. Nemirovsky3Moscow State Medico-Stomatological UniversityMoscow State Medico-Stomatological UniversityInstitute of Continuous Medical EducationCity Clinical Hospital No. 67, Moscow City Healthcare DepartmentAim. To assess the pregnancy course and perinatal outcomes in women with congenital heart valve disease (CHVD).Material and methods. In total, 150 medical histories of pregnant women with corrected CHVD (CCHVD; n=61) and non-corrected CHVD (NCHVD; n=89) were retrospectively analysed. All women gave birth at the specialised maternity centre in Moscow and the perinatal centre in Khabarovsk.Results. The features of CHVD in pregnant women reflected the population patterns and were represented by interventricular and interatrial septal defects, aortal coarctation, open arterial duct, pulmonary artery stenosis, and corrected “blue” heart valve disease. Approximately 20% of the women learnt about their disease during the current pregnancy. In most women, the pregnancy course was uncomplicated, but in 9,8% (n=6) of CCHVD and 14,8% (n=13) of NCHVD women, heart failure (HF) symptoms developed and progressed at Weeks 28-32, when the hemodynamic load on cardiovascular system is maximal. Hospitalization and adequate treatment of these patients improved their clinical status and prolonged the pregnancy up to physiological terms. Over 50% of the women had cesarean delivery, despite no evidence of cardiovascular decompensation.Conclusion. The first delivery in most women with CCHVD and NCHVD took place at young age. Cardiovascular decompensation was registered at Weeks 28-32, when the hemodynamic load is maximal.https://cardiovascular.elpub.ru/jour/article/view/1362congenital heart valve diseasepregnancyperinatal outcomes |
| spellingShingle | Yu. V. Bukhonkina1 R. I. Stryuk G. V. Chizhova V. B. Nemirovsky Pregnancy course and perinatal outcomes in women with congenital heart valve disease Кардиоваскулярная терапия и профилактика congenital heart valve disease pregnancy perinatal outcomes |
| title | Pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| title_full | Pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| title_fullStr | Pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| title_full_unstemmed | Pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| title_short | Pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| title_sort | pregnancy course and perinatal outcomes in women with congenital heart valve disease |
| topic | congenital heart valve disease pregnancy perinatal outcomes |
| url | https://cardiovascular.elpub.ru/jour/article/view/1362 |
| work_keys_str_mv | AT yuvbukhonkina1 pregnancycourseandperinataloutcomesinwomenwithcongenitalheartvalvedisease AT ristryuk pregnancycourseandperinataloutcomesinwomenwithcongenitalheartvalvedisease AT gvchizhova pregnancycourseandperinataloutcomesinwomenwithcongenitalheartvalvedisease AT vbnemirovsky pregnancycourseandperinataloutcomesinwomenwithcongenitalheartvalvedisease |