Key result
Healthy pregnancy increases cardiac output by 45%, placing a huge demand on the heart that can lead to a 30-50% mortality rate in women with primary pulmonary hypertension or Eisenmenger's complex.
This review provides an overview of physiological cardiovascular changes during healthy pregnancy and the assessment and management of pre-existing heart disease.
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Supports preconception counseling in pulmonary hypertension; leaves open prospective trials on management.
Pregnancy places a huge demand on the heart. Such a burden cannot always be met by women with pre-existing heart disease. This article covers the important physiological changes of healthy pregnancy, and discusses how to assess and manage heart disease during pregnancy.
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David Williams (1999) conducted a review in Heart disease in pregnancy. Healthy pregnancy increases cardiac output by 45%, placing a huge demand on the heart that can lead to a 30-50% mortality rate in women with primary pulmonary hypertension or Eisenmenger's complex.
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