432473
Acquired Heart Disease
- Pericarditis
- inflammation of pericardium
- infection, cardiac injury, autoimmune response
- pericardial infusion preventing heart from expanding sufficiently
- or scarring of pericardium preventing strech
- difficulty breathing and chest pain
- difficulty breathing and chest pain
- or scarring of pericardium preventing strech
- pericardial infusion preventing heart from expanding sufficiently
- infection, cardiac injury, autoimmune response
- inflammation of pericardium
- Myocardial Infartion
- Ischaemic Heart Disease
- uncommon but increasing cause of maternal death
- risk factors include increasing
maternal age, obesity, hypertension,
smoking, family history and
inequalities in health
- MI 3rd trimester and peripartum
- Heamodynamic changes in
full effect
- higher risk
of
thrombotic
events
- hypercoagulability
due to hormonal
changes
- hypercoagulability
due to hormonal
changes
- higher risk
of
thrombotic
events
- present with ischeamic chest
pain, abnormal ECG and
elevated caridac enzymes
- atypical features
include abdominal
or epigastric pain
and vomiting
- primary percutaneous
transluminal coronary
angiosplasty (PTCA) is first
line treatment
- atypical features
include abdominal
or epigastric pain
and vomiting
- Heamodynamic changes in
full effect
- MI 3rd trimester and peripartum
- risk factors include increasing
maternal age, obesity, hypertension,
smoking, family history and
inequalities in health
- uncommon but increasing cause of maternal death
- Aortic Dissection
- inked to severe hypertension
- pre eclampsia, coarctation of
aorta or connective tissue
disease
- presents as severe chest or intrascapular paind
- early diagnosis required as mortality is high
- early diagnosis required as mortality is high
- presents as severe chest or intrascapular paind
- pre eclampsia, coarctation of
aorta or connective tissue
disease
- inked to severe hypertension
- Endocarditis
- inflammation of endocardium
- mainly valves. damaged
- streptococcal infections main cause
- valvular heart disease
- previous history, periodontal disease, IV drug abuse
- good infection control/ hygiene, avoid dental work.
- antibiotic prophylaxis for high risk women
- antibiotic prophylaxis for high risk women
- good infection control/ hygiene, avoid dental work.
- previous history, periodontal disease, IV drug abuse
- valvular heart disease
- streptococcal infections main cause
- mainly valves. damaged
- inflammation of endocardium
- Peripartum Cardiomyopathy
- rare. high mortality 25-50%
- occurs in last month of pregnancy up to 5 months postpartum
- sudden onset. no previous symptoms
- enlargement and inflammation of myocardium
- linked to myocarditis, viral
infection, long term oral
tocolytic therapy, cocaine
abuse
- treatment involves
medication to decrease
pulmonary congestion and
fluid overload
- oxygen, diuretics, vasodilators
- inotrophic agents to improve myometrial contractability
- oxygen, diuretics, vasodilators
- treatment involves
medication to decrease
pulmonary congestion and
fluid overload
- left ventricular heart failure
- linked to myocarditis, viral
infection, long term oral
tocolytic therapy, cocaine
abuse
- enlargement and inflammation of myocardium
- sudden onset. no previous symptoms
- occurs in last month of pregnancy up to 5 months postpartum
- rare. high mortality 25-50%
- Rheumatic Heart Disease
- result of acute inflammatory complication
- group A streptococcus
- endocardium inflamed and scarred
- mitral valve scarred. becomes distorted and dysfunctional
- cusps of valves roughened
- fuse together and narrow
- mitral or atrial stenosis
- heart works harder to pump blood leading to hypertrophy
- heart increases in size
- weakens heart. pregnancy can cause failure
- weakens heart. pregnancy can cause failure
- heart increases in size
- heart works harder to pump blood leading to hypertrophy
- mitral or atrial stenosis
- fuse together and narrow
- cusps of valves roughened
- mitral valve scarred. becomes distorted and dysfunctional
- endocardium inflamed and scarred
- rare in UK. 25% of
women not born in UK
- group A streptococcus
- result of acute inflammatory complication
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