Review article

https://doi.org/10.15836/ccar2018.11

Pregnancy in Women with Congenital Heart Disease: Individualized Strategy.

Maja Strozzi ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Darko Anić ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Željko Baričević ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Margarita Brida ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Irena Ivanac Vranešić ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Kristina Marić Bešić ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Jadranka Šeparović Hanževački ; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia

Abstract

The increase in the number of adult female patients with congenital heart disease (ACHD) will result in pregnancy complications in this populations becoming a more common problem faced by physicians. Patients with intermediate or very complex congenital heart disease, often accompanied by reduced heart function with increased cardiac minute volume, as is the case in pregnancy, will be susceptible to health issues such as heart failure, arrhythmia, loss of pregnancy, pre-term birth, low birthweight, etc. Pregnancy can also represent a direct danger to the morbidity and mortality of the mother, but can also be associated with poorer outcomes after the pregnancy. There are dangers for the child as well, such as restricted growth or the teratogenic effects of drugs. In most patients with ACHD, pregnancy is possible but with an increased risk for the mother and child. We present five patients with moderate or complex heart defects and pregnancy. We have stratified patients have been stratified according to risk and demonstrated the need for monitoring such patients in a specialized ACHD center.

Keywords

adult congenital heart disease; pregnancy; risk stratification

Hrčak ID:

198774

URI

https://hrcak.srce.hr/198774

Publication date:

28.2.2018.

Article data in other languages: croatian

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