The new edition of this practical guide draws on the clinical skills of a wide range of international experts to help you recognize and manage heart disease in pregnancy. Designed for on-the-spot use, this convenient and concise text helps you identify a cardiac problem, understand its pathophysiology, and respond appropriately.


Under the careful editorial direction of Drs. Oakley and Warnes, the Second Edition introduces new contributors from North America and Europe as well as new chapters on:

pulmonary hypertension
rheumatic heart disease
artificial heart valves
Marfan syndrome
auto-immune diseases
hypertrophic cardiomyopathy
rhythm disorders
hypertension
cardiac intervention
The entire book is scrupulously updated to reflect the most current standards of care. The contributors - all recognized leaders in their respective fields - outline the pathway to diagnosis and appropriate management by a multi-disciplinary team.


Although heart disease is the leading medical cause of maternal death, clinical trials in this population are few and the evidence base is small. The expert recommendations in Heart Disease in Pregnancy, Second Edition, are a welcome source of information for cardiologists, obstetricians, general practitioners, and all members of the patient care team.

CONTENTS: Preface

Aknowledgements

1 Overview

2 Physiological changes in pregnancy

3 Cardiovascular examination in pregnancy and the approach to diagnosis of cardiac disorder

4 Acyanotic congenital heart disease incorporating pericardial disease and infective endocarditis issues

5 Cyanotic heart disease

6 Pregnancy and Pulmonary Hypertension

7 Rheumatic heart disease

8 Mitral valve prolapse

9 Artificial heart valves incorporating anticoagulant therapy, infective endocarditis issues, antimicrobial therapy

10 Management of pregnancy in Marfan syndrome, Ehlers-Danlos syndrome and other heritable connective tissue disorders incorporating infective endocarditis issues

11 Autoimmune diseases

12 Pulmonary disease

13 Hypertrophic cardiomyopathy

14 Peripartum cardiomyopathy and other heart muscle disorders

15 Coronary artery disease

16 Rhythm disorders including antiarrhythmic drug treatment

17 Pulmonary embolism

18 Hypertension and pre-eclamptic toxaemia including drug treatment

19 Management of labor and delivery in the high-risk patient

20 Anesthesia for the pregnant cardiac patient

21 Cardiac intervention and surgery during pregnancy

22 Genetic counselling

23 Contraception for the cardiac patient

Index