Management of Cardiovascular Diseases during Pregnancy

Pocket Guidelines

CVD Pregnancy pocket guidelines
Publication Date: 2004

Chairperson: Celia Oakley

Table of Contents

Introduction

Physiological changes during pregnancy

In general

  • Pre-existing conditions which may confer high maternal risk
  • Low maternal risk
  • Maternal conditions causing high foetal risk
  • Heart conditions which may develop in pregnancy or parturition

Congenital Heart Disease

  • High risk patients
  • Patients at low or moderate risk

Marfan syndrome and other inherited conditions affecting the aorta

Acquired valvular heart disease

  • Mitral stenosis
  • Aortic stenosis
  • Heart valve prostheses

Cardiomyopathies

  • Peripartum cardiomyopathy (PPCM)
  • Dilated cardiomyopathy (DCM)
  • Hypertrophic cardiomyopathy

Arrhythmias

Hypertensive disorders

  • Pre-existing hypertension
  • Pre-eclampsia
  • Treatment of acute hypertension