Cardiac testing during pregnancy may include one of more of the following: cardiac magnetic resonance imaging (MRI) scan, chest radiography, computed tomography (CT), electrocardiography, graded exercise testing, Holter monitor or other wearable event recorders, implantable loop recorder, radionuclide investigations, stress…
During pregnancy, women may present for nonobstetric surgical procedures, most commonly related to traumatic injury, appendicitis, or cholecystitis. Care must be taken to provide a safe anesthetic for both patients, with maternal stability directly correlating with fetal well-being. Although there…
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…