Heart disease in pregnancy is a challenge for the obstetrician and the cardiologist. This discussion covers mWHO, CARPREG, ZAHARA and CARPREG II risk scores for risk stratification of heart disease in pregnancy.
Hemodynamic changes in pregnancy and labour can adversely affect many of the significant cardiac lesions. Increase in blood volume and heart rate are the important factors during pregnancy.
In general, stenotic lesions and pulmonary hypertension are poorly tolerated, while regurgitant lesions are better tolerated. Specific risks like aortic dissection and rupture are there for coarctation of aorta. Several risk stratification schemes have been developed for assessing risk of pregnancy with heart disease over the years.
16 апр 2022
