Diagnosis and treatment of pregnancy complicated by heart.docVIP

 PAGE \* MERGEFORMAT 9 Diagnosis and treatment of pregnancy complicated by heart [Abstract] during pregnancy and delivery significantly increased the burden on the heart, such as cardiac dysfunction, prone to cardiac accidents, serious consequences and even death. Pregnant women with heart disease was 0.7% to 1%, four reasons for the maternal mortality one. [Keywords] Pregnancy Complications Heart First, pregnancy, childbirth and postpartum changes in cardiovascular physiology Since the first 6 weeks of pregnancy, maternal blood volume, cardiac output, stroke volume, heart rate, they will have different degrees of increase, especially in late pregnancy is more obvious. On the basis of changes in pregnancy, pregnant women in childbirth increased tension, pain and contractions, etc., resulting in further increase in cardiac output, thereby further increasing the burden on the heart, within 24 hours of delivery, due to intra-abdominal pressure of the lifting of the fetus, intravenous change thy blood increased and the heart quickly reset lead to increased cardiac preload, venous filling pressure, cardiac output, stroke volume also increased. Undoubtedly these physiological changes of pregnancy, childbirth and the puerperium heavier burden on the heart. pregnant women with heart disease is the most dangerous period of pregnancy 32 weeks after childbirth, especially when the second stage of labor and puerperal early. Second, the types of diseases Pregnant women with congenital heart disease and heart disease were divided into two types of acquired heart disease. Congenital heart disease, including: atrial septal defect, ventricular septal defect, patent ductus arteriosus, Elsinmenger syndrome, congenital aortic stenosis, the main artery constriction, pulmonary stenosis, symptoms such as TOF, acquired heart disease, rheumatic heart disease, based mainly on the other, such as coronary heart disease, hyperthyroidism, heart disease and perinatal