Cardiac Problems in Pregnancy

Cardiac Problems in Pregnancy offers clinicians the most detailed and comprehensive guide to diagnosing and managing pregnancy-associated cardiovascular diseases currently available. Covering a wide spectrum of congenital and acquired cardiovascular conditions, its extensive contents examine diseases of the heart with an expert awareness of the implications of pregnancy and the attendant physiological changes it brings. Such guidance is vitally required in an age in which congenital and acquired heart diseases are the leading causes of non-obstetrical maternal morbidity and mortality. Featuring 36 new or extensively revised chapters, this fourth edition of the book complements coverage of the latest research and clinical advances with a complete and up-to-date bibliography of literature on pregnancy in women with cardiovascular conditions. It also serves as a practical, step-by-step companion for those caring for heart disease patients during pregnancy, labor, and the post-partum period. Contents include: Coverage of all elements of maternal cardiology Newly written chapters featuring fresh research and data Guidance on performing risk assessments and interventions both prior to and during gestation Explanations of a range of diagnostic and therapeutic approaches to cardiovascular disease in pregnant patients Drawing on expertise from across the fields of cardiovascular medicine, obstetrics, anesthesiology, cardiac surgery, pharmacology, and clinical science, Cardiac Problems in Pregnancy is designed to give invaluable support to all medical professionals involved in maximizing the safety and success of cardiologically complex pregnancies.

Table of Contents:
About the Editor ix List of Contributors x Preface xiii Acknowledgments xiv Part I Physiologic Changes During Normal Pregnancy and the Puerperium 1 1 Hemodynamic and Cardiac Function 3 Ofer Havakuk and Uri Elkayam Part II Cardiac Evaluation of the Pregnant Woman 17 2 Cardiovascular Evaluation During Pregnancy 19 Uri Elkayam 3 Cardiovascular Imaging in the Pregnant Patient 32 Patrick Colletti and Uri Elkayam Part III Cardiac Disorders and Pregnancy 41 4 Risk Assessment Prior and During Pregnancy 43 Samuel C. Siu and Candice K. Silversides 5 Congenital Heart Disease and Pregnancy 60 Candice K. Silversides, Jack M. Colman, and Samuel C. Siu 6 Native Valvular Heart Disease and Pregnancy 75 Uri Elkayam 7 Pregnancy in the Patient with Prosthetic Heart Valves 90 Uri Elkayam 8 Myocarditis and Pregnancy 107 Avraham Shotan and Andrei Keren 9 Pericardial Disorders and Pregnancy 116 Marla A. Mendelson 10 Peripartum Cardiomyopathy 128 Sorel Goland and Uri Elkayam 11 Dilated Cardiomyopathy and Pregnancy 155 Kathleen Stergiopoulos and Fabio V. Lima 12 Hypertrophic Cardiomyopathy and Pregnancy 167 Iris M. van Hagen, Uri Elkayam, Sorel Goland, and Jolien W. Roos-Hesselink 13 Left Ventricular Noncompaction 181 Radha J. Sarma 14 Acute Myocardial Infarction and Pregnancy 201 Uri Elkayam and Ofer Havakuk 15 Cardiac Arrhythmias and Pregnancy 220 Danna Spears and Uri Elkayam 16 Pulmonary Arterial Hypertension and Pregnancy 252 Dianne Zwicke, Sara Paulus, and Vinay Thohan 17 Infective Endocarditis 261 Ramin Ebrahimi, Michael Shenoda, Sheila Sahni, and David Fisk Part IV Vascular Disease in Pregnancy 275 18 Vascular Dissections and Aneurysms During Pregnancy 277 Afshan B. Hameed 19 Marfan Syndrome and Pregnancy 285 Sorel Goland and Uri Elkayam 20 Non-Marfan Aortopathies and the Pregnant Patient 305 John Bois and Heidi Connolly 21 Takayasu’s Arteritis and Pregnancy 319 Abha Khandelwal 22 Thromboembolic Disease in Pregnancy 326 Courtney C. Bilodeau and Karen Rosene-Montella 23 Amniotic Fluid Embolism and Pregnancy 334 Irene A. Stafford, Steven L. Clark, and Gary A. Dildy 24 Hypertension During Pregnancy 339 Chonyang L. Albert and Leslie Cho 25 Syncope in Pregnancy 349 Paul S. Gibson Part V Cardiac Surgery and Catheter Based Interventions During Pregnancy 359 26 Cardiac Surgery During Pregnancy 361 Anita Nguyen and Hartzell V. Schaff 27 Catheter-Based Interventions in Women with Heart Disease During Pregnancy 370 Anil Mehra, Gassan Muadi, Pavan Reddy, and Uri Elkayam 28 Analgesia and Anesthesia During Pregnancy, Labor, and Delivery 389 Katherine W. Arendt 29 Cardiopulmonary Resuscitation of Pregnant Women 397 Joan Briller 30 Pregnancy After Cardiac Transplantation 419 Serban Constantinescu, Dawn P. Armenti, Lisa A. Coscia, Lynn R. Punnoose, John M. Davison, and Michael J. Moritz Part VI Cardiovascular Drug Therapy During Pregnancy 433 31 Pharmacokinetics of Drugs in Pregnancy and Lactation 435 Irving Steinberg 32 Cardiovascular Drugs in Pregnancy and Lactation 456 Petronella G. Pieper, Uri Elkayam, Joy Eskandar, and Titia P.E. Ruys 33 Tocolytic Therapy in the Cardiac Patient 491 Joseph G. Ouzounian 34 Fertility Control in the Cardiac Patient 497 Joan Briller, Mark R. Johnson, and Jolien W. Roos-Hesselink Part VII Labor and Delivery 513 35 Management of Labor and Delivery in a Cardiac Patient 515 Rohan D’Souza and Mathew Sermer 36 Cardiac Effects of Drugs Used for Induction of Labor and Prevention and Treatment of Postpartum Hemorrhage 530 Mark R. Johnson Index 537

About the Author :
Uri Elkayam, MD, Professor of Medicine, Obstetrics, and Gynecology and Director of Maternal Cardiology, University of Southern California, Los Angeles, CA, USA