scholarly journals Maternal cardiac arrhythmias during pregnancy and lactation

2010 ◽  
Vol 3 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Rachael Cordina ◽  
Mark A McGuire
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Cardiac Arrhythmias ◽  
Congenital Heart ◽  
Structural Heart Disease ◽  
Normal Heart ◽  
Pregnancy And Lactation ◽  
Fetus And Neonate ◽  
Rheumatic Heart

Arrhythmias occurring during pregnancy can cause significant symptoms and even death in mother and fetus. The management of these arrhythmias is complicated by the need to avoid harm to the fetus and neonate. It is useful to classify patients with arrhythmias into those with and without structural heart disease. Those with a primary electrical problem, but an otherwise normal heart, often tolerate rapid heart rates without compromise whereas patients with problems such as rheumatic heart disease, congenital heart disease or cardiomyopathy may quickly decompensate during an arrhythmia.

scholarly journals Study of prevalence of heart disease in antenatal mothers along with fetal and maternal outcome from a tertiary care hospital, Salem, Tamil Nadu, India

2019 ◽  
Vol 8 (12) ◽  
pp. 5027 ◽  
Author(s):  
Subha Sivagami Sengodan ◽  
Shobhika Selvaraj
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Tamil Nadu ◽  
Congenital Heart ◽  
Neonatal Outcome ◽  
Tertiary Care ◽  
Maternal Outcome ◽  
Care Hospital ◽  
Rheumatic Heart

Background: Incidence of pregnancy in women with heart disease is increasing due to the increasing number of women with congenital heart disease. Although most cardiac conditions are well tolerated during pregnancy, there are some conditions that have adverse fetal and maternal outcome. Objective of this study is to study the prevalence of heart disease in antenatal mothers and fetal outcome with obstetric management.Methods: This is a prospective observational study carried out in the Department of Obstetrics and Gynaecology at Government Mohan Kumaramangalam Medical College and Hospital during January 2018 to March 2019 for a period of fifteen months. Authors included 149 antenatal mothers with heart disease and analysed the data using percentage analysis through excel software.Results: Incidence of heart disease in pregnancy was observed to be 1.2%. Rheumatic heart disease being 73.8%, congenital being 22.8% and complete heart block was 3.4%. Among rheumatic heart disease mitral stenosis was the most common lesion. Atrial septal defect was the most common congenital heart disease. The mean gestational age of delivery was 37 to 38 weeks. 58% delivered by vaginal route. Most common neonatal complication was prematurity. Pregnancy and neonatal outcome were favorable.Conclusions: Heart disease complicating pregnancy has increased due to late marriage, obesity, hypertension and diabetes. Early referral, regular follow-up and multi-disciplinary approach with tertiary care back-up will bring a favorable maternal and neonatal outcome in patients with heart disease.

The Changing Pattern of Heart Disease in Glasgow School Children

1969 ◽  
Vol 14 (11) ◽  
pp. 387-388
Author(s):  
A. S. Rogen
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
School Children ◽  
Congenital Heart ◽  
Common Knowledge ◽  
School Age ◽  
Age Group ◽  
Cardiac Surgeon ◽  
Rheumatic Heart

It is common knowledge that rheumatic fever and rheumatic heart disease have fallen in frequency but comparison of the two sets of figures quoted in the text is impressive in stressing that the degree of this is perhaps greater than has been generally realised; at the same time, more children with congenital heart disease are living to school age. Since rheumatic heart disease at the school age group did not make any demand on the cardiac surgeon, it follows that increased demands are made on him by the changing pattern of heart disease in school children.

scholarly journals Echocardiographic Profile of Patients in Dhulikhel Hospital, A Medical College Hospital in Nepal

2014 ◽  
Vol 11 (1) ◽  
pp. 13-17
Author(s):  
Sanjaya Humagain ◽  
Ramsundar Twayana ◽  
Rajendra Koju
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Diastolic Dysfunction ◽  
Rheumatic Heart Disease ◽  
Congenital Heart ◽  
Hypertensive Heart Disease ◽  
College Hospital ◽  
Medical College ◽  
Rheumatic Heart

Background and Aim : Echocardiograph is an important diagnostic tool to evaluate cardiac disease and is indispensible for management. So it is important to know the spectrum of cardiac abnormalities that can be detected by echocardiograph and the frequency of these findings may vary depending on where the echocardiogram is performed. Aim of this study was to find out the spectrum of echocardiographic finding in different age group in a medical college hospital. Methods and materials : A retrospective observational study was done to at Dhulikhel Hospital to review Echocardiographic profile of 3310 patients who were indicated for echocardiogram over a period of 3 years. Data collected from echocardiograph report registry. Data analysis was done using SPSS 17. Result : Congenital Heart Disease(CHD) (37.74%),Normal finding( 21.19%), Pericardial Heart Disease(19.21%) and Rheumatic Heart Disease(RHD)(17.88%) were the echocardiographic finding in children. In adolescents and young adults Rheumatic Heart Disease (49.90%), Hypertensive Heart Disease (13.34%), Congenital Heart Disease (6.58%), and Pericardial Disease (4.38%) were found. Most common finding in middle age was cor-pulmonale (34.76%) followed by Diastolic Dysfunction (20.60%), Hypertensive Heart Disease(17.06%),Ischemic Heart Disease(IHD) (12.80%). In elderly age most common finding was Diastolic Dysfunction (57.14%). Conclusion : The spectrum of echocardiograph finding in a medical college hospital ranges from Congenital Heart Disease, Rheumatic Heart Disease, Ischemic Heart Disease ,Pericardial disease, Corpulmonale, Diastolic Dysfunction, systolic dysfunction and degenerative valve disease. Streptococcal sore throat leading to Rheumatic Heart Disease and complication of tuberculosis and parasitic infestation leading to pericardial diseases, as well as Hypertensive Heart Disease, and Ischemic Heart Disease constitutes burden in Nepal. Cor-pulmonale and ) Sanjaya Humagain, Ramsundar Twayana, Rajendra Koju. DOI: http://dx.doi.org/10.3126/njh.v11i1.10976   Nepalese Heart Journal 2014;11(1): 13-17

scholarly journals Epidemiological survey of Rheumatic fever, Rheumatic heart disease and Congenital heart disease among school children in Kathmandu valley of Nepal

2014 ◽  
Vol 10 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Dipanker Prajapati ◽  
Deewakar Sharma ◽  
Prakash Raj Regmi ◽  
Harihar Khanal ◽  
Sajan Gopal Baidya ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Public Schools ◽  
Rheumatic Fever ◽  
Rheumatic Heart Disease ◽  
School Children ◽  
Congenital Heart ◽  
Epidemiological Survey ◽  
Kathmandu Valley ◽  
Rheumatic Heart

Background and Aims: Rheumatic Fever, Rheumatic Heart Disease and Congenital Heart disease are the most common cardiac problems in school children. Prior studies have reported different prevalence rate of Rheumatic Heart Disease among different groups of population of Nepal. The aim of this study was to estimate the prevalence of Rheumatic Fever, Rheumatic Heart Disease and Congenital Heart Disease among school children in Kathmandu Valley of Nepal. Methods: Cardiac screening of 34,876 school children from 115 randomly selected public schools from two cities of Kathmandu Valley (Kathmandu and Lalitpur) was done. Cases with abnormal findings in auscultation underwent echocardiography and the diagnosis was confirmed. Results: The prevalence of Congenital Heart Disease was noted to be 1 per thousand and prevalence of Rheumatic Heart Disease was found to be 0.90 per thousand (in the age group 5-16 years) with the most common lesion being Mitral Regurgitation. No significant statistical difference was noted between male and female students in both the cases of Rheumatic Heart Disease and Congenital Heart Disease. No cases of Acute Rheumatic Fever were noted. Conclusion: The prevalence of Rheumatic Heart Disease among school children in Kathmandu valley was noted to be lower than reported in similar previous studies. Primary and secondary prevention programs of RF/RHD have been effective in Nepal and are needed to be strengthened and expanded to further reduce the burden of these diseases. Nepalese Heart Journal | Volume 10 | No.1 | November 2013| Pages 1-5 DOI: http://dx.doi.org/10.3126/njh.v10i1.9738

PREVALENCE OF HEART DISEASE IN TORONTO CHILDREN

PEDIATRICS ◽  
1951 ◽  
Vol 7 (5) ◽  
pp. 713-721
Author(s):  
J. H. GARDINER ◽  
JOHN D. KEITH
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Ventricular Septal Defect ◽  
Rheumatic Heart Disease ◽  
Congenital Heart ◽  
Septal Defect ◽  
School Age ◽  
Age Group ◽  
Great Vessels ◽  
Rheumatic Heart

The prevalence of heart disease in school children in this study was found to be .37%. This agrees rather closely with the recent findings of Rauh in Cincinnati and Robinson and Aggeler in San Francisco, but is a distinct drop from the findings of investigators 20 and 30 years ago, when 1 to 2% was the prevalence commonly reported. From birth to 5 years of age heart disease in children is almost always congenital in origin. In the school age group 55% had congenital heart disease and 44% had rheumatic heart disease. Thus in the school age group, congenital heart disease occurred in just over half the heart cases, whereas if one takes the whole age group from birth to 15 years, congenital heart disease is found twice as commonly as rheumatic heart disease. Deaths from congenital heart disease are roughly six times as common as rheumatic heart disease in the birth to 15 years age group. During one year there were 29 deaths from congenital heart disease and five from rheumatic heart disease. It is of interest that by far the most common congenital defect of the heart is the ventricular septal defect. The patent ductus arteriosus is second with a third as many cases, tetralogy of Fallot is fourth, auricular septal defect is fifth, and so on. This is important to the paediatrician but it is of interest and importance to both the surgeon and the paediatrician to note the frequency according to the cause of death. Here tetralogy of Fallot is first, transposition of the great vessels second, anomalies of the aortic valve and ascending aorta third, ventricular septal defect fourth and coarctation of the aorta fifth. Thus efforts might well be directed to evolving satisfactory methods of treating transposition of the great vessels, the second most common cause of death from congenital heart anomalies.

scholarly journals Chronic rheumatic heart disease and congenital heart disease complicating pregnancy: a study of the cardiac events, the maternal and perinatal outcome during 2011-2013 at tertiary care centre

2020 ◽  
Vol 9 (7) ◽  
pp. 2736
Author(s):  
Pratibha Devabhaktuni ◽  
Sushma Manchala ◽  
Somaraju Bhupathi Raju ◽  
Rajeev Menon ◽  
C. Sridevi
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Perinatal Outcome ◽  
Congenital Heart ◽  
Nyha Class ◽  
Prosthetic Heart Valve ◽  
Heart Team ◽  
Eisenmenger’S Syndrome ◽  
Rheumatic Heart

Background: Objective of this study was to assess the prevalence of chronic rheumatic heart disease and congenital heart disease complicating pregnancy, study the maternal and perinatal outcome, and indications for termination of pregnancy.Methods: Preconception counseling, antenatal care by pregnancy heart team as per protocol. One 2nd gravida (G2A1) with 26 weeks gestation, underwent mitral valve replacement during 26th week gestation i/v/o infective endocarditis associated with severe mitral regurgitation.Results: Authors had CRHD: CHD = 29:21, out of 50 cases, the ratio was 1.3:1 in this study. Atrial septal defect (ASD) was the predominant lesion in this study -29% ASD alone and 9% associated with pulmonary artery hypertension. Eisenmenger's syndrome, was associated with ASD in three and VSD in two. Corrected lesions were 24%. In the rheumatic heart disease, mitral stenosis was the predominant lesion and PBMV was done in four (13.7%) cases. In CRHD cases, surgically corrected by prosthetic heart valve were -11 (37.9%). In CRHD total corrected cases, by prosthetic heart valve and percutaneous balloon mitral valvotomy (PBMV) account for 51.7%. One patient had PBMV procedure during 5th month of present pregnancy i/v/o severe mitral stenosis with mitral valve area -0.8 cm2 and another patient had PBMV during her first pregnancy. In this study 42% were in NYHA class I. 14% were in NYHA class IV. CHF was seen in 10%. Termination of pregnancy was necessary in 6 with CHD and 5 with CRHD. There were 39 deliveries with one set of twins. All the babies were alive. Maternal mortality was confirmed in one case with Eisenmenger’s syndrome + HELLP syndrome. Live birth rate was higher in cases with NYHA class I/II than in those with NYHA class III/IV (82.8% versus 66.60%).Conclusions: Management by a pregnancy heart team as per guidelines would reduce mortality.

Pregnancy and lactation

2019 ◽  
pp. 343-366
Author(s):  
Anita Banerjee ◽  
Debasish Banerjee ◽  
Vivekanand Jha
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Cardiovascular Disease ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Pregnancy And Lactation ◽  
Developed World ◽  
Rheumatic Heart ◽  
In Pregnancy

Cardiovascular disease in pregnancy remains a significant cause of morbidity and mortality worldwide. In the developed world, congenital heart disease remains the most frequently encountered presentation, and in the developing world, it is rheumatic heart disease. However, with ageing of the maternal population and cardiovascular risk factors, women are presenting with familiar cardiac conditions such as heart failure. Pre-pregnancy counselling and appropriate and timely management lead to an optimal outcome for the mother and baby. This chapter describes the physiology and provides up-to-date guidance on drug therapy of cardiovascular disease in pregnancy.

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