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  • Woman With Artificial Valve Prosthesis

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    ANNE
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    Women with mechanical heart valve prostheses face high risks during pregnancy, including valve thrombosis and maternal death, as pregnancy puts additional strain on the cardiovascular system and requires the heart to work harder. Compared to women with bioprosthetic valves, those with mechanical valves have higher rates of pregnancy loss, premature births, maternal death, and thromboembolic complications. Chronic hypertension in pregnancy increases risks for superimposed preeclampsia, abruption of the placenta, and poor fetal outcomes. Women with certain conditions like chronic renal disease, diabetes, or a history of severe preeclampsia with perinatal death face even higher risks. Some chronically hypertensive pregnant women may have undiagnosed

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    WOMAN WITH ARTIFICIAL VALVE PROSTHESIS

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    Women with mechanical heart valve prostheses face high risks during pregnancy, including valve thrombosis and maternal death, as pregnancy puts additional strain on the cardiovascular system and requires the heart to work harder. Compared to women with bioprosthetic valves, those with mechanical valves have higher rates of pregnancy loss, premature births, maternal death, and thromboembolic complications. Chronic hypertension in pregnancy increases risks for superimposed preeclampsia, abruption of the placenta, and poor fetal outcomes. Women with certain conditions like chronic renal disease, diabetes, or a history of severe preeclampsia with perinatal death face even higher risks. Some chronically hypertensive pregnant women may have undiagnosed

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    10 views2 pages

    Woman With Artificial Valve Prosthesis

    Uploaded by

    ANNE
    Women with mechanical heart valve prostheses face high risks during pregnancy, including valve thrombosis and maternal death, as pregnancy puts additional strain on the cardiovascular system and requires the heart to work harder. Compared to women with bioprosthetic valves, those with mechanical valves have higher rates of pregnancy loss, premature births, maternal death, and thromboembolic complications. Chronic hypertension in pregnancy increases risks for superimposed preeclampsia, abruption of the placenta, and poor fetal outcomes. Women with certain conditions like chronic renal disease, diabetes, or a history of severe preeclampsia with perinatal death face even higher risks. Some chronically hypertensive pregnant women may have undiagnosed

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    © All Rights Reserved
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    of 2

    1.

    WOMAN WITH ARTIFICIAL VALVE PROSTHESIS


    - ONE-WAY VALVE IMPLANTED INTO A PERSON’S HEART TO REPLACE A VALVE
    THAT IS NOT FUNCTIONING PROPERLY (VALVULAR HEART DISEASE)

     EFFECT
    - PREGNANCY IN WOMEN WITH MECHANICAL VALVE PROSTHESES HAS A HIGH
    MATERNAL COMPLICATION RATE INCLUDING VALVE THROMBOSIS AND DEATH
    - PREGNANCY PUTS AN EXTRA STRAIN ON THE CARDIOVASCULAR SYSTEM, JUST
    AS IT DOES OTHER PARTS OF THE BODY. THE AMOUNT OF BLOOD IN THE
    BODY, FOR EXAMPLE RISES AS MUCH AS 50 PERCENT BY THE THIRD
    TRIMESTER OF PREGNANCY
    - THE HEART, THEN, MUST WORK HARDER TO PUMP MORE BLOOD.
    - WHEN COMPARED WITH WOMEN WITH BIOPROSTHETIC VALVES, WOMEN
    WITH MECHANICAL HEART VALVES HAVE A HIGHER INCIDENCE OF
    PREGNANCY LOSS, PREMATURE BIRTHS, MATERNAL DEATHS,
    THROMBOEMBOLIC COMPLICATIONS, AND BLEEDING
    2. CHRONIC HYPERTENSIVE VASCULAR DISEASE IN PREGNANCY
    - CHRONIC HYPERTENSION IN PREGNANCY IS CLASSIFIED AS MILD OR SEVERE
    DEPENDING ON THE SYSTOLIC AND DIASTOLIC BLOOD PRESSURE READINGS.
    THE HYPERTENSION IS CLASSIFIED AS EITHER MILD OR SEVERE
    - SEVERE HYPERTENSION (SBP > 180MMHG, AND/OR DBP >110 MMHG) OR
    MILD HYPERTENSION IN ASSOCIATION WITH:
    o PRESENCE OF HYPERTENSION FOR > 4Y
    o MATERNAL AGE > 40 YRS
    o RENAL DISEASE
    o COARCTATION OF THE AORTA
    o ANTIPHOSPHOLIPID ANTIBODY SYNDROME WITH PERINATAL LOSS
    o PREVIOUS SEVERE PREECLAMPSIA WITH PERINATAL DEATH
    o RETINOPATHY
    o DIABETEES (CLASS B TO F)
    o COLLAGEN VASCULAR DISEASE
    o CARDIOMYOPATHY
     MATERNAL AND FETAL RISKS
    - PREGNANCIES COMPLICATED BY CHRONIC HYPERTENSION ARE AT INCREASED
    RISK FOR THE DEVELOPMENT OF SUPERIMPOSED PREECLAMPSIA, ABRUPTIO
    PLACENTAE, AND POOR PERINATAL OUTCOME

    IN ADDITION, SOME PREGNANT CHRONIC HYPERTENSIVE WOMEN MAY HAVE SILENT


    UNDIAGNOSED CHRONIC RENAL DISEASE AND MAY EXPERIENCE URINARY PROTEIN
    EXCRETION THAT INCREASES WITH ADVANCING GESTATION, PARTICULARLY IN THE
    THIRD TRIMESTER (USUALLY MORE THAN 300MG) BUT LESS THAN 1 G/24HR) MANY
    SUCH WOMEN WILL DEMONSTRATE AN INCREASE IN EITHER THEIR SYSTOLIC (MORE
    THAN 30 MMHG) OR THEIR DIASTOLIC (MORE THAN 15MMHG) BLOOD PRESSURE
    WITH ADVANCING GESTATION

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