首页> 美国卫生研究院文献>African Health Sciences >Case report of a 26 year old primigravida with Patent Ductus Arteriosus (PDA) in heart failure
【2h】

Case report of a 26 year old primigravida with Patent Ductus Arteriosus (PDA) in heart failure

机译:一例26岁的初发妊娠合并动脉导管未闭(PDA)的心衰病例

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

Congenital heart disease is an important cause of maternal morbidity and mortality during pregnancy. Pregnancy alters the circulatory and respiratory physiology with attendant deleterious effect on the mother with congenital heart disease and the foetus. Additional insult to the circulatory physiology by other factors coexisting together with congenital heart disease can further reduce the cardiac reserve in pregnancy and precipitate heart failure. These factors include anaemia, thromboembolism, hypertension, multiple pregnancy, strenuous physical activity, extremes of temperature and the normal physiological edema of pregnancy.Patent ductus arteriosus (PDA) can present for the first time in pregnancy. Moderate to large PDA result in significant volume overload, left ventricular dilation and dysfunction. In the woman with a hemodynamically important PDA, pregnancy may precipitate or worsen heart failure. We report a successful pregnancy in a 26 year old primigravida with previously undetected patent ductus arteriosus with preeclampsia who presented in heart failure. This case highlights the importance of intensive careful examination of pregnant patients to identify such conditions.
机译:先天性心脏病是孕期孕产妇发病和死亡的重要原因。怀孕改变了循环和呼吸生理,对先天性心脏病和胎儿的母亲产生有害影响。与先天性心脏病并存的其他因素对循环生理的额外侮辱可进一步减少妊娠时的心脏储备并加剧心力衰竭。这些因素包括贫血,血栓栓塞,高血压,多次妊娠,剧烈的体力活动,极端温度和正常的妊娠生理性水肿。妊娠期首次出现动脉导管未闭(PDA)。中度至大型PDA会导致明显的容量超负荷,左心室扩张和功能障碍。在具有重要血液动力学PDA的女性中,妊娠可能会加速或加重心力衰竭。我们报道了在26岁的初产妇中成功怀孕,而先前未发现先兆子痫的动脉导管未闭先兆性心脏病。该案例强调了对孕妇进行认真仔细检查以识别此类疾病的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号