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PREPARED BY: CHUKWUMA I. ONYEIJE, M.D ATLANTA PERINATAL ASSOCIATES: http://chukwumaonyeije.com
A copy of this lecture can also be found at: http://onyeije.net/present
QUESTION #1: How can you classify heart function  for pregnant women?
The New York Heart Association (NYHA) Grading of  Heart Functional Capacity: CLASS I No functional limitation of activity  Symptoms with extra ordinary physical work. CLASS II Mild limitation of physical activity.    Symptoms with ordinary physical work CLASS III Marked limitation of physical activity Symptoms with less than ordinary physical work CLASS IV Severe limitation of physical activity Symptoms at rest
QUESTION #2: What is the MORTALITY associated  with the various cardiac lesions ?
LOW RISK: Maternal Mortality less than 1% ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
MODERATE RISK: Maternal Mortality 5-15% ,[object Object],[object Object],[object Object],[object Object],[object Object]
AORTIC STENOSIS (NARROW VALVE)
 
HIGH RISK: Maternal Mortality 25-50% ,[object Object],[object Object],[object Object],[object Object]
 
QUESTION #3 What determines the prognosis for a woman with cardiac disease?
Prognosis Depends of Functional Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QUESTION #4: What are the clinical criteria for diagnosing cardiac disease DURING pregnancy ?
Criteria to diagnose cardiac disease during pregnancy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QUESTION #5: Cardiac Indications for Termination of Pregnancy?  (Controversial)
Cardiac Conditions With Prohibitively High Maternal Risks: ,[object Object],[object Object],[object Object],[object Object],[object Object]
 

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Classification of Heart Disease in Pregnancy

  • 1. PREPARED BY: CHUKWUMA I. ONYEIJE, M.D ATLANTA PERINATAL ASSOCIATES: http://chukwumaonyeije.com
  • 2. A copy of this lecture can also be found at: http://onyeije.net/present
  • 3. QUESTION #1: How can you classify heart function for pregnant women?
  • 4. The New York Heart Association (NYHA) Grading of Heart Functional Capacity: CLASS I No functional limitation of activity Symptoms with extra ordinary physical work. CLASS II Mild limitation of physical activity.   Symptoms with ordinary physical work CLASS III Marked limitation of physical activity Symptoms with less than ordinary physical work CLASS IV Severe limitation of physical activity Symptoms at rest
  • 5. QUESTION #2: What is the MORTALITY associated with the various cardiac lesions ?
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  • 15. QUESTION #3 What determines the prognosis for a woman with cardiac disease?
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  • 17. QUESTION #4: What are the clinical criteria for diagnosing cardiac disease DURING pregnancy ?
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  • 19. QUESTION #5: Cardiac Indications for Termination of Pregnancy? (Controversial)
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