author_facet Patnaik, Amar
Patnaik, Amar
author Patnaik, Amar
spellingShingle Patnaik, Amar
Indian Journal of Cardiovascular Disease in Women WINCARS
Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
General Engineering
author_sort patnaik, amar
spelling Patnaik, Amar 2455-7854 Scientific Scholar General Engineering http://dx.doi.org/10.1055/s-0038-1676549 <jats:title>Abstract</jats:title><jats:p>It is estimated that about 3% pregnancies can have cardiac disease. There is wide variation in the spectrum of heart diseases. Pregnant women in India and other developing countries continue to show high prevalence of rheumatic heart disease (RHD). Pre-conception counseling based on a good echocardiographic evaluation is the most cost-effective method to prevent morbidity and mortality due to valvular heart disease. With advances in medical science, many with valvular heart disease are living to adulthood and undergoing successful pregnancy. Symptoms of a pregnant woman with a valvular disease depend on the altered hemodynamics of the specific valvular lesion in combination with the physiologic changes inherent to the pregnancy itself. A good echocardiographic evaluation of all pregnant women on their first visit to an obstetrician’s office is an effective strategy to prevent morbidity and mortality from valvular heart diseases. In general, the regurgitant lesions are well tolerated during pregnancy and labor. Asymptomatic but significant valve lesions can be decompensated by many factors. Severely stenosed mitral and, sometimes, aortic valve may have to be balloon-dilated by trained experts in midterm taking due care to avoid excess radiation. Valve surgery is rarely performed in absence of any other safer option. A multidisciplinary team approach is required to manage a pregnant woman with significant cardiac lesion with high-risk features and patients having mechanical valves that require continuous anticoagulation.</jats:p> Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases Indian Journal of Cardiovascular Disease in Women WINCARS
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title Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_unstemmed Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_full Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_fullStr Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_full_unstemmed Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_short Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_sort structural heart diseases during pregnancy: part 1—valvular heart diseases
topic General Engineering
url http://dx.doi.org/10.1055/s-0038-1676549
publishDate 2018
physical 108-114
description <jats:title>Abstract</jats:title><jats:p>It is estimated that about 3% pregnancies can have cardiac disease. There is wide variation in the spectrum of heart diseases. Pregnant women in India and other developing countries continue to show high prevalence of rheumatic heart disease (RHD). Pre-conception counseling based on a good echocardiographic evaluation is the most cost-effective method to prevent morbidity and mortality due to valvular heart disease. With advances in medical science, many with valvular heart disease are living to adulthood and undergoing successful pregnancy. Symptoms of a pregnant woman with a valvular disease depend on the altered hemodynamics of the specific valvular lesion in combination with the physiologic changes inherent to the pregnancy itself. A good echocardiographic evaluation of all pregnant women on their first visit to an obstetrician’s office is an effective strategy to prevent morbidity and mortality from valvular heart diseases. In general, the regurgitant lesions are well tolerated during pregnancy and labor. Asymptomatic but significant valve lesions can be decompensated by many factors. Severely stenosed mitral and, sometimes, aortic valve may have to be balloon-dilated by trained experts in midterm taking due care to avoid excess radiation. Valve surgery is rarely performed in absence of any other safer option. A multidisciplinary team approach is required to manage a pregnant woman with significant cardiac lesion with high-risk features and patients having mechanical valves that require continuous anticoagulation.</jats:p>
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author Patnaik, Amar
author_facet Patnaik, Amar, Patnaik, Amar
author_sort patnaik, amar
container_issue 2/03
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container_title Indian Journal of Cardiovascular Disease in Women WINCARS
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description <jats:title>Abstract</jats:title><jats:p>It is estimated that about 3% pregnancies can have cardiac disease. There is wide variation in the spectrum of heart diseases. Pregnant women in India and other developing countries continue to show high prevalence of rheumatic heart disease (RHD). Pre-conception counseling based on a good echocardiographic evaluation is the most cost-effective method to prevent morbidity and mortality due to valvular heart disease. With advances in medical science, many with valvular heart disease are living to adulthood and undergoing successful pregnancy. Symptoms of a pregnant woman with a valvular disease depend on the altered hemodynamics of the specific valvular lesion in combination with the physiologic changes inherent to the pregnancy itself. A good echocardiographic evaluation of all pregnant women on their first visit to an obstetrician’s office is an effective strategy to prevent morbidity and mortality from valvular heart diseases. In general, the regurgitant lesions are well tolerated during pregnancy and labor. Asymptomatic but significant valve lesions can be decompensated by many factors. Severely stenosed mitral and, sometimes, aortic valve may have to be balloon-dilated by trained experts in midterm taking due care to avoid excess radiation. Valve surgery is rarely performed in absence of any other safer option. A multidisciplinary team approach is required to manage a pregnant woman with significant cardiac lesion with high-risk features and patients having mechanical valves that require continuous anticoagulation.</jats:p>
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spelling Patnaik, Amar 2455-7854 Scientific Scholar General Engineering http://dx.doi.org/10.1055/s-0038-1676549 <jats:title>Abstract</jats:title><jats:p>It is estimated that about 3% pregnancies can have cardiac disease. There is wide variation in the spectrum of heart diseases. Pregnant women in India and other developing countries continue to show high prevalence of rheumatic heart disease (RHD). Pre-conception counseling based on a good echocardiographic evaluation is the most cost-effective method to prevent morbidity and mortality due to valvular heart disease. With advances in medical science, many with valvular heart disease are living to adulthood and undergoing successful pregnancy. Symptoms of a pregnant woman with a valvular disease depend on the altered hemodynamics of the specific valvular lesion in combination with the physiologic changes inherent to the pregnancy itself. A good echocardiographic evaluation of all pregnant women on their first visit to an obstetrician’s office is an effective strategy to prevent morbidity and mortality from valvular heart diseases. In general, the regurgitant lesions are well tolerated during pregnancy and labor. Asymptomatic but significant valve lesions can be decompensated by many factors. Severely stenosed mitral and, sometimes, aortic valve may have to be balloon-dilated by trained experts in midterm taking due care to avoid excess radiation. Valve surgery is rarely performed in absence of any other safer option. A multidisciplinary team approach is required to manage a pregnant woman with significant cardiac lesion with high-risk features and patients having mechanical valves that require continuous anticoagulation.</jats:p> Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases Indian Journal of Cardiovascular Disease in Women WINCARS
spellingShingle Patnaik, Amar, Indian Journal of Cardiovascular Disease in Women WINCARS, Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases, General Engineering
title Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_full Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_fullStr Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_full_unstemmed Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_short Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
title_sort structural heart diseases during pregnancy: part 1—valvular heart diseases
title_unstemmed Structural Heart Diseases during Pregnancy: Part 1—Valvular Heart Diseases
topic General Engineering
url http://dx.doi.org/10.1055/s-0038-1676549