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Cardiac Considerations for the Obstetric Patient

Department of Anesthesiology, Charles R. Drew University of Medicine and Science, Martin Luther King, Jr./Drew Medical Center, Los Angeles

Calvin Johnson, MD

Department of Anesthesiology, Charles R. Drew University of Medicine and Science, Martin Luther King, Jr./Drew Medical Center, Los Angeles; Department of Anesthesiology, University of California, Los Angeles School of Medicine, Los Angeles, CA

Pregnancy and heart disease present a unique challenge to the anesthesiologist. Pregnancy results in physiological changes to the parturient's cardiovascular system that can unmask or worsen underlying heart disease. To avoid untoward complications resulting in significant maternal and/or fetal morbidity or mortality, the anesthesiologist must be knowledgeable about the progression of heart disease during pregnancy. Discussed are the pathophysiology, clinical presentation, and anesthetic management of valvular, congenital, vascular, and ischemic heart disease, and cardiomyopathy in pregnancy.

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 7, No. 2, 167-173 (2003)
DOI: 10.1177/108925320300700205


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