[The course of pregnancy in patients with cardiac disease].
The outcome of 240 pregnancies in 202 patients with cardiac disease, who delivered between Jan. 1982 and Dec. 1987 at the National Cardiovascular Center was analyzed. Ninety-six patients had congenital heart disease. Forty-two had acquired valvular heart disease, 83 had cardiac arrhythmia, 7 had aortitis syndrome, 7 had cardiomyopathy and 2 had secondary angina pectoris. There was one case of each of the following cardiac diseases: Primary pulmonary hypertension, Marfan's syndrome and pericarditis. Nineteen of the above lapsed into congestive heart failure and there were two cases of maternal death. One was a case of primary pulmonary hypertension and the other had had an aortic valve replaced with a Bjork-Shiley prosthesis because of rheumatic valve disease. Another 16 mothers had artificial preterm delivery at a gestational age of 30 weeks to 36 weeks to reduce the risk of congestive heart failure. There were 5 cases of IUFD, three of which were attributed to maternal cardiac disease and another to fetal failure. Neonatal congenital heart disease was found in 8 cases. The percentage of IUGR, excepting twin pregnancies, was 14.8%.
Sasaki
K
K
Department of Perinatology, National Cardiovascular Center, Osaka.
Utsu
M
M
Kanzaki
T
T
Sakakibara
S
S
Kobayashi
H
H
Watanabe
N
N
Murakami
M
M
Chiba
Y
Y
D005260:Female; D005313:Fetal Death / Q000453:epidemiology; D006330:Heart Defects, Congenital / Q000401:mortality*; D006349:Heart Valve Diseases / Q000401:mortality; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D007564:Japan; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000401:mortality*; D011256:Pregnancy Outcome; D011379:Prognosis