Which Cardiac Disease Has Highest Mortality In Pregnancy?

A heart muscle disease called

peripartum cardiomyopathy

is the leading cause of death in expectant mothers, accounting for 23% of deaths late in pregnancy, according to ACOG.

What causes cardiac disease in pregnancy?

From the conception of pregnancy, mothers should receive counsel regarding risk factors attributed to cardiac disease of pregnancy. These risk factors include

drug use, alcohol abuse, hypertension, diabetes mellitus, pre-existing heart disease, myocarditis, and familial heart disease of pregnancy

.

At which time during pregnancy would a client with cardiac disease be at greatest risk for problems?

There are several periods of pregnancy in which the patient is at increased vulnerability for complications: the end of the first trimester, the second trimester at approximately 20 weeks gestational age, and

at 29 to 30 weeks gestational age

, when the blood volume increase is maximal.

What is the most common association with heart disease in pregnancy?

The most common congenital heart diseases in pregnant women, which account for nearly 60% of cases, are

patent ductus arteriosus, atrial septal defect and ventricular septal defect

.

What are the main cardiac disorders in pregnancy?

During pregnancy, stenosis and regurgitation (insufficiency) most often affect the mitral and aortic valves.

Mitral stenosis

is the most common valvular disorder during pregnancy. Pregnancy amplifies the murmurs of mitral stenosis and aortic stenosis but diminishes those of mitral and aortic regurgitation .

Does pregnancy affect your heart?

How does pregnancy affect the heart? Pregnancy stresses your heart and circulatory system. During pregnancy,

your blood volume increases by 30 to 50 percent

to nourish your growing baby, your heart pumps more blood each minute and your heart rate increases. Labor and delivery add to your heart's workload, too.

Does pregnancy put strain on your heart?

A pregnant woman's heart has to exert twice as much effort to circulate the increased blood volume. During labor and delivery, blood pressure and heart rate can drastically change,

putting additional strain on the heart muscle

.

Is my heart healthy enough for pregnancy?

In most cases, it's rare for a cardiologist to be involved in the pregnancy process. In fact, for many women, especially those who are active and healthy before becoming pregnant,

the heart is strong enough to outlast the marathon of pregnancy without any complications

.

What change occurs in the cardiovascular system during pregnancy?

Cardiovascular alterations during pregnancy are characterized by

an increased vascular volume

How common are heart defects in fetuses?

Nearly 1 in 100 babies

(about 1 percent or 40,000 babies) is born with a heart defect in the United States each year. About 1 in 4 babies born with a heart defect (about 25 percent) has a critical CHD. Some heart defects don't need treatment or can be treated easily.

What are contraindications for pregnancy?

Absolute and relative contraindications to pregnancy include

severe pulmonary arterial hypertension

; severe fixed valve stenoses (AS,MS,PS,HOCM, coarctation; Class III or IV congestive heart failure with a left ventricular ejection fraction of

What is Eisenmenger's syndrome?

Eisenmenger (I-sun-meng-uhr) syndrome is

a long-term complication of an unrepaired heart defect that someone was born with (congenital)

. The congenital heart defects associated with Eisenmenger syndrome cause blood to circulate abnormally in your heart and lungs.

How can I strengthen my heart during pregnancy?

1. Be your own health advocate. …
2. Eat a balanced, nutritious diet with more fruits and vegetables.
3. Exercise regularly. …
4. Get enough sleep. …
5. Reach and maintain a healthy weight. …
6. Don't smoke or vape. …
7. Don't stress the small stuff. …
8. Consider practicing mindfulness.

What is a normal heart rate when pregnant?

During pregnancy, the amount of blood pumped by the heart (cardiac output) increases by 30 to 50%. As cardiac output increases, the heart rate at rest speeds up from a normal prepregnancy rate of about

70 beats per minute to as high as 90 beats per minute

.

How early in pregnancy does heart rate increase?

During pregnancy, women expand their blood volume by approximately 30-50%. This is accompanied by an increase in cardiac output. The heart rate may also increase by 10-20 beats per minute. The changes peak during

weeks 20-24

and usually resolve completely within 6 weeks of childbirth.