Pregnancy and heart disease

Abstract

Introduction: At present, 0.2-4% of all pregnancies in western industrialized countries are complicated by cardiovascular diseases (CVD). Guidelines on disease management in pregnancy are of great relevance. Such guidelines have to give special consideration to the fact that all measures concern not only the mother, but the fetus as well. Some general conclusions have arisen from these guidelines: counselling and management of women of childbearing age with suspected cardiac disease should start before pregnancy occurs; they should be managed by interdisciplinary teams. Materials and methods: In The Institute of Cardiovascular Diseases "Prof. Dr. George IM Georgescu ", Iaşi, there were four cases of pregnant women with cardiac disease associated. Patient aged 16 years with 37 weeks pregnancy, single living fetus, tetralogy of Fallot, no cyanosis or hypoxic crises in history, which is the first pregnacy well tolerated. Patients aged 24 years and 39 weeks gestational age, surgically corrected transposition of the great arteries, moderate aortic stenosis, pulmonary stenosis, chronic heart failure NYHA class III, ventricular extrasystoles. Patient aged 24 years, 38 weeks pregnancy, bicuspid aortic (stenosis moderate, moderate regurgitation), circular array of string. Patient aged 31 years, pregnancy 37 weeks, mechanical aortic valve replacement, NYHA class III chronic heart failure, incomplete uterine rupture. Conclusion: In all four cases the pregnancy was terminated by cesarean section with further favorable development in specialized treatment and supervision.