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.

scholarly journals Maternal Outcome among Women Having Cardiac Disease at Tertiary Care Hospital

2021 ◽  
Vol 15 (5) ◽  
pp. 974-976
Author(s):  
Shazia Awan ◽  
Saira Dars ◽  
Shazia Rani ◽  
Raheel Sikandar
Keyword(s):  
Heart Disease ◽  
Cardiac Disease ◽  
Congenital Heart ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Maternal Outcome ◽  
Cardiac Diseases ◽  
Care Hospital ◽  
Rheumatic Heart

Aim: To determine the maternal outcome among women presented with cardiac disease at tertiary care hospital. Study design: Prospective study. Place and duration of study: Department of Obstetrics & Gynaecology, Liaquat University of Medical and Health Science Jamshoro from 1st April 2019 to 31st March 2020. Methodology: Fifty-seven women after 24 weeks of alive pregnancy and having cardiac diseases were included. The subjects were seen in the Gynaecology OPD every two weeks till 34-36 weeks, as per institutional protocols and after that every week by obstetrician. Cardiologists saw subjects in each trimester and delivery schedule were developed and medications were adapted with collaboration. The anaesthetic scheme of the subject was also reviewed with the cardiac anaesthetist. All the maternal outcome data was recorded. Results: Most of the patients 89.5% had age group of 25-32 years. Multiparous women were commonest 43.3% and 53.7% patients underwent normal vaginal delivery. 35.8% patients had congenital heart disease, 32.8% had cardiomyopathy and 16.4% had Rheumatic heart disease. According to the maternal outcome anemia was most common among 85.1%, pre-eclampsia 41.8%, pulmonary edema 35.8%, IUGR 20.9%, birth asphyxia 26.9%, preterm 38.8% and maternal mortality 14.9%. Abruption placenta and preterm birth were significantly associated with congenital heart disease and cardiomyopathy p=0.047 and p=0.002 respectively. Pulmonary edema was higher among patients of cardiomyopathy (p=0.027). Birth asphyxia was higher among patients of rheumatic heart disease. While anemia, IUGR and maternal mortality were equally found among cardiac diseases, p-values were quit insignificant. Conclusion: Cardiac disease showed adverse maternal outcome during pregnancy with mortality rate of 14.9%. Keywords: Pregnancy cardiac disease, Maternal outcome, Mortality rate

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 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 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

Sign in / Sign up

Export Citation Format

Share Document