Cardiac Problems in Pregnancy

Common physiological variations during pregnancy require, on average, a 50% growth in circulating blood volume that is supplemented by an increase in cardiac output that usually peaks between the mid portion of the second and third trimesters The enlarged cardiac output is due to an increase in the stroke size, and a minor increase in heart rate, averaging 10 to 20 beats per minute. Additionally uterine circulation and endogenous hormones cause systemic vascular resistance to reduction and a disproportionately lowering of diastolic blood pressure causes a catholic pulse pressure. Inferior vena caval obstruction from a gravid uterus in the prone position can result in an abrupt decrease in cardiac preload, which leads to hypotension with weakness and light headedness. During labor and delivery cardiac output rises more in part due to the related anxiety and pain, as well as due to uterine reductions which will cause an increase in systolic and diastolic blood pressure.

  • Physiological changes during pregnancy and puerperium
  • Cardiovascular evaluation during pregnancy
  • Pregnancy and valvular heart disease
  • Pregnancy and congenital heart disease
  • Pregnancy and cardiomyopathy
  • Coronary artery disease in pregnancy

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