Pregnant women with preexisting cardiac disease provide a unique challenge to anesthesiologists in the peripartum period. Pregnancy-related death has been increasing over the past three decades, and cardiovascular disease is the number one cause of pregnancy-related death in the United…
With the increasing number of women with cardiac disease presenting to labor and delivery, anesthesiologists must be equipped to manage their analgesia and anesthesia in the peripartum period. Therefore, it is important to consider the potential cardiovascular effects of the…
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In Chapter 12 , we presented an overview of pharmacology during pregnancy; in this chapter, we focus on drugs specifically used to treat cardiac conditions in expecting mothers. These conditions include acute coronary syndromes and postoperative care (after angioplasty, stenting,…
Pregnancy affects almost every aspect of pharmacology, including volume of distribution, protein binding, absorption, and metabolism. Consequently, when giving drugs to pregnant patients, the maternal cardiac care team must consider these changes in the maternal handling of drugs as well…
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Arrhythmias of any type may occur during pregnancy. Patients who have a condition that predisposes them to develop arrhythmias may have their initial episodes during pregnancy, and patients who already have arrhythmias may have them continue during pregnancy. Some patients…
Endocarditis usually occurs on previously damaged heart valves or is associated with shunt lesions or baffles. When seen on previously normal valves, endocarditis is most often on the right-sided valves and is associated with intravenous (IV) drug abuse. This chapter…
Peripartum cardiomyopathy (PPCM), a disorder specific to pregnancy, is one of the most feared complications for pregnant women and their medical care teams. It carries such a heightened risk for recurrence and subsequent morbidity and mortality that it warrants counseling…