Featuring 36 new or extensively revised chapters, this fourth edition of the book complements coverage of the latest research and clinical advances with a complete and up-to-date bibliography of literature on pregnancy in women with cardiovascular conditions. It also serves as a practical, step-by-step companion for those caring for heart disease patients during pregnancy, labor, and the post-partum period.
Contents include:
- Coverage of all elements of maternal cardiology - Newly written chapters featuring fresh research and data - Guidance on performing risk assessments and interventions both prior to and during gestation - Explanations of a range of diagnostic and therapeutic approaches to cardiovascular disease in pregnant patients
Drawing on expertise from across the fields of cardiovascular medicine, obstetrics, anesthesiology, cardiac surgery, pharmacology, and clinical science, Cardiac Problems in Pregnancy is designed to give invaluable support to all medical professionals involved in maximizing the safety and success of cardiologically complex pregnancies.
Table of Contents
About the Editor ix
List of Contributors x
Preface xiii
Acknowledgments xiv
Part I Physiologic Changes During Normal Pregnancy and the Puerperium 1
1 Hemodynamic and Cardiac Function 3
Ofer Havakuk and Uri Elkayam
Part II Cardiac Evaluation of the Pregnant Woman 17
2 Cardiovascular Evaluation During Pregnancy 19
Uri Elkayam
3 Cardiovascular Imaging in the Pregnant Patient 32
Patrick Colletti and Uri Elkayam
Part III Cardiac Disorders and Pregnancy 41
4 Risk Assessment Prior and During Pregnancy 43
Samuel C. Siu and Candice K. Silversides
5 Congenital Heart Disease and Pregnancy 60
Candice K. Silversides, Jack M. Colman, and Samuel C. Siu
6 Native Valvular Heart Disease and Pregnancy 75
Uri Elkayam
7 Pregnancy in the Patient with Prosthetic Heart Valves 90
Uri Elkayam
8 Myocarditis and Pregnancy 107
Avraham Shotan and Andrei Keren
9 Pericardial Disorders and Pregnancy 116
Marla A. Mendelson
10 Peripartum Cardiomyopathy 128
Sorel Goland and Uri Elkayam
11 Dilated Cardiomyopathy and Pregnancy 155
Kathleen Stergiopoulos and Fabio V. Lima
12 Hypertrophic Cardiomyopathy and Pregnancy 167
Iris M. van Hagen, Uri Elkayam, Sorel Goland, and Jolien W. Roos-Hesselink
13 Left Ventricular Noncompaction 181
Radha J. Sarma
14 Acute Myocardial Infarction and Pregnancy 201
Uri Elkayam and Ofer Havakuk
15 Cardiac Arrhythmias and Pregnancy 220
Danna Spears and Uri Elkayam
16 Pulmonary Arterial Hypertension and Pregnancy 252
Dianne Zwicke, Sara Paulus, and Vinay Thohan
17 Infective Endocarditis 261
Ramin Ebrahimi, Michael Shenoda, Sheila Sahni, and David Fisk
Part IV Vascular Disease in Pregnancy 275
18 Vascular Dissections and Aneurysms During Pregnancy 277
Afshan B. Hameed
19 Marfan Syndrome and Pregnancy 285
Sorel Goland and Uri Elkayam
20 Non-Marfan Aortopathies and the Pregnant Patient 305
John Bois and Heidi Connolly
21 Takayasu’s Arteritis and Pregnancy 319
Abha Khandelwal
22 Thromboembolic Disease in Pregnancy 326
Courtney C. Bilodeau and Karen Rosene-Montella
23 Amniotic Fluid Embolism and Pregnancy 334
Irene A. Stafford, Steven L. Clark, and Gary A. Dildy
24 Hypertension During Pregnancy 339
Chonyang L. Albert and Leslie Cho
25 Syncope in Pregnancy 349
Paul S. Gibson
Part V Cardiac Surgery and Catheter Based Interventions During Pregnancy 359
26 Cardiac Surgery During Pregnancy 361
Anita Nguyen and Hartzell V. Schaff
27 Catheter-Based Interventions in Women with Heart Disease During Pregnancy 370
Anil Mehra, Gassan Muadi, Pavan Reddy, and Uri Elkayam
28 Analgesia and Anesthesia During Pregnancy, Labor, and Delivery 389
Katherine W. Arendt
29 Cardiopulmonary Resuscitation of Pregnant Women 397
Joan Briller
30 Pregnancy After Cardiac Transplantation 419
Serban Constantinescu, Dawn P. Armenti, Lisa A. Coscia, Lynn R. Punnoose, John M. Davison, and Michael J. Moritz
Part VI Cardiovascular Drug Therapy During Pregnancy 433
31 Pharmacokinetics of Drugs in Pregnancy and Lactation 435
Irving Steinberg
32 Cardiovascular Drugs in Pregnancy and Lactation 456
Petronella G. Pieper, Uri Elkayam, Joy Eskandar, and Titia P.E. Ruys
33 Tocolytic Therapy in the Cardiac Patient 491
Joseph G. Ouzounian
34 Fertility Control in the Cardiac Patient 497
Joan Briller, Mark R. Johnson, and Jolien W. Roos-Hesselink
Part VII Labor and Delivery 513
35 Management of Labor and Delivery in a Cardiac Patient 515
Rohan D’Souza and Mathew Sermer
36 Cardiac Effects of Drugs Used for Induction of Labor and Prevention and Treatment of Postpartum Hemorrhage 530
Mark R. Johnson
Index 537