TY - CHAP M1 - Book, Section TI - Cardiac Disease in Pregnancy A1 - Gandhi, Manisha A1 - Martin, Stephanie R. A2 - Foley, Michael R. A2 - Strong, Jr., Thomas H. A2 - Garite, Thomas J. PY - 2015 T2 - Obstetric Intensive Care Manual, 4e AB - Cardiac disease complicates approximately 4% of all pregnancies in the United States; however, these patients are at a disproportionate increase in risk for maternal deaths (10%-25%).1,2 Congenital cardiac lesions are 3 times more common than acquired, adult-onset abnormalities in pregnant patients. Intensive care unit (ICU) admissions due to maternal cardiac disease comprise up to 15% of obstetric ICU admissions, yet these patients account for up to 50% of all maternal deaths in the ICU.3,4,5,6,7,8, 9 The incidence of an acute coronary event is increasing during pregnancy due to older maternal age at child-bearing along with higher rates of hypertension and obesity in women.10 Pregnant cardiac patients are at risk of developing cardiac decompensation and adverse pregnancy outcomes based on the type of cardiac lesion. Pregnancy can have a negative influence on systolic and diastolic function in women with structural heart disease, which can persist 6 months after pregnancy.11 Further complicating the issue, common complaints of normal pregnancy such as dyspnea, fatigue, palpitations, orthopnea, and pedal edema mimic symptoms of worsening cardiac disease and can create challenges for the clinician when evaluating a pregnant patient with cardiac disease. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - obgyn.mhmedical.com/content.aspx?aid=1115790637 ER -