Cardiologia Croatica, Vol. 13 No. 1-2, 2018.
Pregledni rad
https://doi.org/10.15836/ccar2018.11
Pregnancy in Women with Congenital Heart Disease: Individualized Strategy.
Maja Strozzi
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Darko Anić
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Željko Baričević
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Margarita Brida
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Irena Ivanac Vranešić
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Kristina Marić Bešić
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Jadranka Šeparović Hanževački
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Sažetak
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.
Ključne riječi
adult congenital heart disease; pregnancy; risk stratification
Hrčak ID:
198774
URI
Datum izdavanja:
28.2.2018.
Posjeta: 2.431 *