Critical Heart Condition During Pregnancy
Critical Care Obstetrics
- 1st Edition - August 18, 2024
- Imprint: Academic Press
- Editors: Jorge Hidalgo, Carlos Montufar, Javier Perez-Fernandez
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 2 0 0 8 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 2 0 0 7 - 4
Critical Heart Condition During Pregnancy, a volume in the Critical Care Obstetrics series, provides a novel reference to educate physicians, nurses, and all allied healthcare pe… Read more
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Request a sales quoteCritical Heart Condition During Pregnancy, a volume in the Critical Care Obstetrics series, provides a novel reference to educate physicians, nurses, and all allied healthcare personnel caring for pregnant women with various health compromises specific to cardiac complications. The book's chapters reflect the growing scope of critical care obstetrics and the increasing importance and recognition of the hospital structure's field. All intensivists, regardless of primary discipline, must possess a core set of critical care skills that allow them to manage critically ill patients. The authors have gathered the best evidence-based material explicitly focused on cardiac scenarios.
This volume presents cardiac medical-surgical complications that any patient can present during and post-partem, such as Arrhythmias, Endocarditis, Cardiogenic Shock, heart failure, and more.
This volume presents cardiac medical-surgical complications that any patient can present during and post-partem, such as Arrhythmias, Endocarditis, Cardiogenic Shock, heart failure, and more.
- Provides obstetric concepts with updated knowledge of Cardiovascular changes in pregnancy
- Offers best practice approaches and management of potential serious conditions that may result in cardiac surgery
- Explores the use, effects, and management of drugs in the cardiovascular system during pregnant
- Includes chapters written by authors with extensive clinical experience in critical obstetric care
Critical Obstetrics, Sub Specialist, Physicians Specialists in Anesthesiology Internal Medicine Specialists Resident Physicians of the aforementioned specialties, Medical students of medicine
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- Chapter 1. The cardio-obstetric team
- Introduction
- Components of the cardio-obstetric team
- Purpose of the cardio-obstetric team
- Preconception assessment of patients with cardiac disease
- Collaborative antenatal assessment
- Multidisciplinary conferences
- Postdelivery follow-up
- Research and education
- Training
- Developing a cardio-obstetrics service
- Organizational culture and future vision
- Conclusion
- Chapter 2. Pregnancy induced heart physiological alteration
- Introduction
- Heart remodeling (position and size)
- Heart rate
- Cardiac output
- Blood volume changes
- Systemic vascular resistance
- Arterial blood pressure
- Influence body position
- Conclusion
- Chapter 3. Critical heart condition during pregnancy
- Physiological changes of pregnancy
- Hypertensive disorders associated with pregnancy
- Symptoms and signs in preeclampsia and eclampsia
- Heart valve disease
- Other heart problems that could develop during pregnancy
- Chapter 4. Anesthesia and analgesia for the critically ill obstetric patient with cardiac disease
- Introduction
- Risk stratification
- Identification of heart disease in pregnancy
- Physiological changes during delivery
- Decision-making and delivery planning
- Monitoring
- General principles of anesthetic management
- Analgesia for vaginal delivery
- Neuraxial anesthesia for caesarean section delivery
- General anesthesia for caesarean section delivery—general principles
- Peripartum cardiovascular support—pharmacological
- Ischemic heart disease
- Peripartum cardiovascular support—nonpharmacological
- Postpartum care
- Chapter 5. Anticoagulation in pregnancy
- Introduction
- Risk factors for pregnancy-related VTE
- Anticoagulant therapy in pregnancy
- Indications of anticoagulation in pregnancy
- Conclusions
- Chapter 6. Pregnancy and valvular heart disease
- Introduction
- Evaluation and risk assessment
- Stenotic valve disease
- Regurgitant valve disease
- Delivery and postpartum management
- Chapter 7. Adult congenital heart disease in pregnancy
- Introduction
- Preconception counseling
- Investigations
- Specific lesions
- Management
- Conclusion
- Chapter 8. Peripartum cardiomyopathy
- Peripartum cardiomyopathy case definition
- Epidemiology
- Risk factors
- Pathophysiology
- Clinical manifestations
- Therapeutic strategies
- Acute phase
- Chronic phase
- Chapter 9. Acute coronary syndrome during pregnancy
- Incidence and risk factors
- Diagnosis
- Management
- Conclusion
- Chapter 10. Pulmonary hypertension in pregnancy
- Introduction
- Definition
- Physiological changes and impact on PAH
- Diagnosis
- Counseling and contraceptives
- Women who get pregnant
- Approach to treatment
- Supportive measures
- Pharmacological treatment of PAH
- Calcium channel blockers
- Pulmonary hypertension specific therapies
- Endothelin receptor antagonists
- Phosphodiesterase 5 inhibitors and guanylate cyclase stimulators
- Inhaled nitric oxide
- PAH during pregnancy
- Mode of delivery
- Delivery location
- Anesthetic perspective
- RVAD/ECMO/lung transplant
- Postpartum
- Conclusion
- Chapter 11. Arrythmias in pregnancy and management
- Introduction
- Mechanisms of arrhythmia
- Types of arrhythmia during pregnancy
- Approach to the pregnant woman with palpitations
- Principles of management of arrhythmias in pregnancy
- Treatment of specific arrhythmias in pregnancy
- Invasive interventions
- Postpartum considerations
- Cardiac arrest in pregnancy
- Inherited arrhythmia syndromes
- Fetal arrhythmias in pregnancy
- Conclusions
- Chapter 12. Endocarditis in pregnancy
- Introduction
- Definition of endocarditis
- History of diagnosis of IE
- Diagnosis of infective endocarditis
- Confirmation of diagnosis-in pregnancy
- Management of IE
- Management of IE for pregnancy
- Treatment
- Complications
- Epidemiology of infective endocarditis
- Conclusion
- Chapter 13. Cardiopulmonary resuscitation in pregnancy
- Introduction
- Epidemiology of maternal cardiac arrest
- Conduct of resuscitation
- Activation of the resuscitation team
- Basic life support
- Perimortem caesarean section
- Advanced life support
- Iatrogenic causes
- ECMO and ECPR
- Survival and postresuscitation care
- Somatic support
- Human factors and preparation for maternal cardiac arrest
- Conclusions
- Chapter 14. Cardiac surgery and pregnancy
- Cardiac surgery and pregnancy
- Rheumatic fever
- Physiological changes during pregnancy
- Comprehensive evaluation
- Maternal risk
- Fetal risk
- Categorization and management of cardiovascular complications during pregnancy
- Drugs and pregnancy
- Arrhythmias
- Thrombosis
- Congenital cardiomyopathy
- Aortic dissection
- Hypertrophic cardiomyopathy
- Dilated cardiomyopathy
- Peripartum
- Age
- Myocardial infarction
- Rheumatic disease
- Pregnancy and valve replacement
- Conclusion
- Chapter 15. Heart failure in pregnancy
- Introduction
- General considerations
- Hemodynamic changes during labor and delivery
- Pathophysiology
- Maternal and fetal risks
- Causes of heart failure during pregnancy
- Clinical signs
- Investigations
- Treatment
- Chapter 16. Cardiovascular medications in critically ill pregnant patients
- Introduction
- Cardiovascular medications during pregnancy
- Antiarrhythmic drugs
- Antihypertensive drugs
- Diuretic in pregnancy
- Anticoagulation and antiplatelet therapy
- Drugs for heart failure
- Drugs for coronary artery disease during pregnancy
- Lipid-lowering agents during pregnancy
- Drugs for pulmonary hypertension during pregnancy
- Conclusion
- Chapter 17. Cardiogenic shock in pregnancy
- Peripartum cardiomyopathy
- Amniotic fluid embolism (anaphylactoid shock of pregnancy)
- Approach to cardiogenic shock
- Mechanical circulatory support
- Conclusions
- Chapter 18. Obstetric challenges in Marfan syndrome: Critical care perspectives
- Introduction
- Genotype [7,8]
- Phenotype [9–11]
- During labor
- High-risk Marfan syndrome pregnancies [30]
- Non-high-risk Marfan syndrome pregnancy [30]
- Conclusions [30]
- Selection of delivery method [32]
- General anesthesia
- Future management of Marfan syndrome parturient [33]
- Chapter 19. Critical heart conditions during pregnancy
- Introduction
- Cardiovascular changes in pregnancy
- Pregnancy and coronary heart disease
- Aortic disease in pregnancy
- Mitral disease
- Infective endocarditis
- Aortic dissection and aneurysms
- Extracorporeal circulation in pregnancy
- Conclusion
- Chapter 20. AI plays a crucial role in the diagnosis and prognosis cardio pregnant women
- Introduction
- Technology-based health [3]
- Merits of AI
- Diagnostic tools of CVS in pregnant patient
- AI and ML anesthesiology
- Special role of AI in special cases
- These are data that may be processed via ML and outcomes predicted
- Index
- Edition: 1
- Published: August 18, 2024
- No. of pages (Hardback): 282
- No. of pages (eBook): 460
- Imprint: Academic Press
- Language: English
- Hardback ISBN: 9780443220081
- eBook ISBN: 9780443220074
JH
Jorge Hidalgo
Dr. Jorge Hidalgo is a Professor of Critical Care and the Head of the Division of Critical Care at Karl Heusner Memorial Hospital in Belize, Central America. He is the President Elect of the World Federation of Societies of Critical Care and Intensive Care Medicine. He has won several awards with the highest recognition and the Director of the very prestigious ACP Review Course hosted by the Paraguay Society of Internal Medicine. Due to his outstanding contribution to the Society of Critical Care Medicine he received the Presidential Citation Award. And Global Safar Award, becoming the First Latin American Intensivist to get this Nomination. He is involved in numerous congresses and a well-recognized international speaker.
Affiliations and expertise
Professor and Head, Division of Critical care, Karl Heusner Memorial Hospital, Belize, Central AmericaCM
Carlos Montufar
Dr. Carlos Montufar is the Head of the Obstetrics Intensive Care Unit of the "Dr. Arnulfo Arias M." Hospital Complex in Panama City, Panama. He is the creator and National Director of the Fellowship Program in Critical Care Obstetrics in Panama. He has written chapters in different texts on the subject of obstetric complications and obstetric intensive care. In addition, he has participated in clinical research studies, publishing papers in different International Medical Journals. Dr. Montufar had an important participation in the creation and structuring of the Fundamental Critical Care Support: Obstetrics course, endorsed by the Society of Critical Care Medicine (SCCM). He is a member of SCCM, and is designated as the International Ambassador of Society of Maternal Fetal Medicine (SMFM). Dr. Montufar has participated in countless international conferences as an exhibitor from 1997 to date.
Affiliations and expertise
Head of the Obstetrics Intensive Care Unit, Dr. Arnulfo Arias M Hospital Complex, Panama City, PanamaJP
Javier Perez-Fernandez
Dr. Javier Perez-Fernandez serves as Medical Director of the Critical Care Services at Baptist Hospital of Miami. He is a Clinical Associate Professor of Medicine at Florida International University, Herbert Wertheim College of Medicine and Professor Pulmonary and Critical Care Medicine at Larkin University, Miami-Dade Florida. He is the Secretary-General of the World Federation of Intensive Care.
Dr. Perez-Fernandez manages a large group of critical care physicians, South Florida Critical Care Services, overseeing the operations of seven ICUs with over 350 beds. He has been a regional and national recognized leader during the COVID-19 pandemic with multiple TV and media appearances and consulting services for several national and international organizations. He has been directly involved in the development of Rapid Response Teams, technology implementation and “open ICU” models. He has lectured worldwide and author of many original publications with the Society of Critical Care Medicine.
Affiliations and expertise
Medical Director, Critical Care Services Baptist Hospital of Miami, Florida, USARead Critical Heart Condition During Pregnancy on ScienceDirect