ABSTRACT
Diagnosis end treatment of heart diseases, physiopathologic changes in pregnancy. Pregnancy in woman with heart disease increases the risk of maternal and fetal complications. The aim of the study is to precise the physiopathologic, diagnostic, and therapeutic characteristics of heart diseases in pregnant woman extensive electronic search of the relevant literature was carried out using Medline. Key words used were: pregnancy, heart disease, maternal outcome, fetal outcome, cardiac complications. Rheumatic heart disease represent the most common cardiopathy found in pregnant woman in our country. Regurgitant valvular diseases are often well tolerated with medical therapy. Severe aortic stenosis is associated with poor prognosis. The use of percutaneous mitral balloon valvuloplasty has transformed treatment of mitral stenosis in symptomatic patients. In developed countries, congenital heart diseases are the most common cause of cardiopathy in pregnant women. Left-to-right shunts are generally well tolerated. Patients with Eisenmenger syndrome should be advised against pregnancy. Obstructive form of hypertrophic cardiomyopathy is associated frequently with hemodynamic deterioration in pregnancy. Dilated cardiomyopathy is usually considered as a contrindication of pregnancy. In the absence of underlying structural heart disease, cardiac arrythmias are uncommon in pregnancy and usually don't require pharmacological treatment. Drug therapy of arrythmias in pregnant woman is limited by side effects on the fetus. The prenatal counsel is based on the assessment of maternofetal risk. The management of pregnant woman requires a multidisciplinary team for optimal maternal and fetal outcomes
Subject(s)
Humans , Female , Pregnancy , Heart Diseases/diagnosis , Heart Diseases/therapy , Rheumatic Heart Disease , Heart Valve Diseases , Aortic Valve Stenosis , Mitral Valve Stenosis , Heart Defects, Congenital , Eisenmenger Complex , Cardiomyopathy, Dilated , Pregnancy Outcome , Arrhythmias, Cardiac , Cardiomyopathy, HypertrophicSubject(s)
Humans , Male , Sick Sinus Syndrome/diagnosis , Heart Block/diagnosis , Cardiac Pacing, ArtificialABSTRACT
Constrictive pericarditis is a disease difficult to diagnose. We report the observation of a child 13 years old without previous history that presented with features of ireductible right heart insufficiency. Diagnosis have been oriented by cardiac echodoppler that show a pericardiac thickness and signs of adiastolia- cardiac. Catheterism confirm the diagnosis and permit the indication of surgical pericardectomy that permit on by an incomplete immediate result