Rheumatic Heart Disease in Pregnancy: The Remote Prognosis in Patients With "Functionally Severe" Disease

Article1 August 1958RHEUMATIC HEART DISEASE IN PREGNANCY: THE REMOTE PROGNOSIS IN PATIENTS WITH "FUNCTIONALLY SEVERE" DISEASEHAROLD GORENBERG, M.D., F.A.C.P., LEON C. CHESLEY, Ph.D.HAROLD GORENBERG, M.D., F.A.C.P.Search for more papers by this author, LEON C. CHESLEY, Ph.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-2-278 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn this paper we shall review our experience with rheumatic heart disease in pregnancy and present a new analysis of the remote mortality in women having severe cardiac impairment when pregnant. The women with rheumatic heart disease in pregnancy seen at the Margaret Hague Maternity Hospital will be presented in several separate series:1. All such patients seen in the years 1933 to 1939. This series will be used only for the derivation of the rules for management.2. Only the patients seen in the Cardiac Clinic from January 1, 1939, to August, 1942, and from March, 1946, to date....Bibliography1. FitzgeraldWebsterZummoWilliams JEABPPC: Evaluation of adequate antepartum care for the cardiac patient, J. A. M. A. 146: 910, 1951. CrossrefMedlineGoogle Scholar2. MacRae DJ: Heart disease in pregnancy: a review of 228 cases, J. Obst. and Gynaec. Brit. Emp. 60: 650, 1953. CrossrefMedlineGoogle Scholar3. DruryO'DriscollHanrattyBarry MIMKTDAP: Rheumatic heart disease complicating pregnancy, Brit. M. J. 1: 70, 1954. CrossrefMedlineGoogle Scholar4. Ullery JC: The management of pregnancy complicated by heart disease, Am. J. Obst. and Gynec. 67: 834, 1954. CrossrefMedlineGoogle Scholar5. Jensen J: The Heart in Pregnancy, 1938, C. V. Mosby Co., St. Louis. CrossrefGoogle Scholar6. Flaxman N: Pregnancy and heart disease, Am. J. Obst. and Gynec. 39: 814, 1940. CrossrefGoogle Scholar7. BoyerNadas NHAS: The ultimate effect of pregnancy on rheumatic heart disease, Ann. Int. Med. 20: 99, 1944. LinkGoogle Scholar8. CohnLingg , cited by Bunim and Appel.11 Google Scholar9. GorenbergChesley HLC: Rheumatic heart disease in pregnancy: immediate and remote prognosis, Obst. and Gynec. 1: 15, 1953. Google Scholar10. HamiltonThomson BEKJ: The heart in pregnancy and the childbearing age, 1941, Little, Brown and Co., Boston. Google Scholar11. BunimAppel JJSB: A principle for determining prognosis of pregnancy in rheumatic heart disease, J. A. M. A. 142: 90, 1950. CrossrefMedlineGoogle Scholar12. Tillman AJ: Personal communication. Google Scholar13. Mendelson CL: Supportive care, interruption of pregnancy, and mitral valvulotomy in the management of mitral stenosis complicating pregnancy, Am. J. Obst. and Gynec. 69: 1233, 1955. CrossrefMedlineGoogle Scholar14. Mendelson CL: The management of delivery in pregnancy complicated by serious rheumatic heart disease, Am. J. Obst. and Gynec. 48: 329, 1944. CrossrefGoogle Scholar15. Gordon CA: Heart disease as a cause of maternal death, Am. J. Obst. and Gynec. 69: 701, 1955. CrossrefMedlineGoogle Scholar16. HaigGilchrist DCAR: Heart disease complicated by pregnancy, Transactions of the Edinburgh Obstetrical Society, in Edinburgh M. J. 101: 55, 1949. Google Scholar17. GorenbergMcGeary HJ: Rheumatic heart disease in pregnancy, Am. J. Obst. and Gynec. 41: 44, 1941. CrossrefGoogle Scholar18. Gorenberg H: Rheumatic heart disease, Am. J. Obst. and Gynec. 45: 835, 1943. CrossrefGoogle Scholar19. ChesleyAnnittoJarvis LCJEDG: A study of the inter-action of pregnancy and hypertensive disease, Am. J. Obst. and Gynec. 53: 851, 1947. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication January 23, 1957.From the Margaret Hague Maternity Hospital, Jersey City, New Jersey.Requests for reprints should be addressed to Harold Gorenberg, M.D., 55 Bentley Avenue, Jersey City 4, New Jersey. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySevere rheumatic cardiac disease and pregnancy: The ultimate prognosisHeart disease and pregnancyRheumatic Heart Disease Diagnosed During Pregnancy: A 30-Year Follow-upInconclusive conclusionThe remote prognosis for pregnant women with rheumatic cardiac diseaseMitral valvotomy and pregnancyMitral Valvotomv in PregnancyA Plan for TanganyikaMITRAL VALVOTOMY IN RELATION TO PREGNANCYErkrankungen der inneren Organe Krankheiten des Herzens und der GefäßeSchwangerschaft bei Vitium cordis 1 August 1958Volume 49, Issue 2Page: 278-304KeywordsAtrial fibrillationCardiovascular therapyChartsHeart diseasesMortalityPregnancyStatistical data ePublished: 1 December 2008 Issue Published: 1 August 1958 PDF downloadLoading ...