Abstract

GARCIA, Laura B. et al. Diagnostic and therapeutic management and clinical outcome by a multidisciplinary team in pregnant women with heart disease. Mem. Inst. Investig. Cienc. Salud [online]. 2018, vol.16, n.2, pp.84-88. ISSN 1812-9528.  https://doi.org/10.18004/mem.iics/1812-9528/2018.016(02)84-088.

Heart diseases affect approximately 2% of pregnant women increasing the risk of the mother and the child. The pregnancy and the delivery produce substantial physiological changes requiring an adequate adaptation of the cardiovascular system. These changes, which are well tolerated by pregnant women without heart disease, expose the pregnant women with heart disease to significant clinical events. This is a descriptive, retrospective study of consecutive cases in the Division of Cardiovascular Medicine of the Hospital de Clínicas between August 2013 and June 2014. It includes five pregnant women with known or unknown heart disease at the time of consultation. The average age was 27 years old (17 to 36 years old). The average gestational age was 34 weeks (30 to 38 weeks). The main symptom at consultation was dyspnea (100%), edema of inferior limbs (60%), and palpitations (40%). The joint diagnostic and therapeutic management with a detailed and adequate follow-up by a multidisciplinary team of cardiologists, physicians, gynecologists, anesthesiologists, and cardiac surgeons facilitated a good clinical outcome and a successful completion of the pregnancy and delivery of the pregnant women with heart disease. As a result of the work of this multidisciplinary team, all the newborns had good evolution during their stay at the intensive care unit without any difficulties.

Keywords : heart disease; pregnancy; multidisciplinary team.

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