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The pregnant cardiac woman

机译：心脏孕妇

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Cardiac diseases are present in 0.5-4% of pregnancies, and they remain a frequent cause of death during pregnancy. Pregnancy per se imposes significant hemodynamic changes, placing a major burden on the cardiovascular system. The early recognition and close follow-up of patients with cardiac diseases will improve maternal tolerance to the cardiovascular burden imposed by pregnancy, promote fetal growth and neonatal survival. Rheumatic heart disease remains the most frequent heart disease in the pregnant population with pulmonary edema as the most frequent complication. Atrial septal defect is the most frequent congenital heart disease in the adult population, whereas tetralogy of Fallot is the most common cyanotic congenital heart disease. An improvement in modern techniques of monitoring, a better understanding of the pathophysiology of cardiac disease, as well as multidisciplinary care has led to a substantial improvement in outcome of the pregnant cardiac patient. Management should be initiated before conception as it will provide optimal clinical conditions and sufficient information on the underlying pathophysiology. < copyright > 2002 Lippincott Williams & Wilkins.
机译：心脏疾病存在于0.5-4％的怀孕中，并且仍然是怀孕期间的常见死亡原因。怀孕本身会带来明显的血液动力学变化，给心血管系统带来重大负担。心脏病患者的早期发现和密切随访将提高母亲对怀孕所施加的心血管负担的耐受性，促进胎儿生长和新生儿存活。风湿性心脏病仍然是妊娠人群中最常见的心脏病，肺水肿是最常见的并发症。房间隔缺损是成人人群中最常见的先天性心脏病，而法洛四联症是最常见的紫otic性先天性心脏病。现代监测技术的改进，对心脏疾病的病理生理学的更好理解以及多学科护理已导致妊娠心脏病患者的预后得到实质性改善。应在受孕前就开始治疗，因为它将提供最佳的临床状况和有关潜在病理生理的足够信息。 <版权> 2002 Lippincott Williams＆Wilkins。

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