title: [Pregnancy in patients with a history of ischaemic heart disease - Case series and literature review].
abstract: Heart diseases complicate 1 to 3% of pregnancies and are the leading cause of indirect maternal deaths. Prior ischaemic heart event in pregnant patients is increasing. Most knowledge is based on few reports and there are no French nor international recommendations about the specific management of these patients. The specificity of the management of these patients during pregnancy, delivery and post-partum depends on the severity of the prior cardiac event and its consequences. This will be illustrated by the report of four recent cases managed in our hospital. First patient had myocardial infarction with normal left ventricular ejection fraction (LVEF). Second patient had a Tako-Tsubo syndrome with LVEF 45%. Third patient had ischemic cardiopathy with LVEF 30%. Fourth patient had myocardial infarction with LVEF 20%. A multidisciplinary follow-up should be required, especially in patients with severe ventricular dysfunction. The risk of fetal growth restriction appears to be increased, suggesting that closer ultrasound monitoring is necessary.
authors: Service de gynécologie-obstétrique, maternité régionale universitaire, 10, rue du Docteur-Heydenreich, 54000 Nancy, France. Electronic address: matura.magda@gmail.com.
authors: M
authors: M
authors: Matura-Bedouhene
authors: Service de gynécologie-obstétrique, CHR de Metz-Thionville, 1-3, rue du Friscaty, 57100 Thionville, France; Service de gynécologie-obstétrique, centre hospitalier Saint-Charles, 1, cours Raymond-Poincaré, 54520 Toul, France. Electronic address: a.maatouk@chu-nancy.fr.
authors: A
authors: A
authors: Maatouk
authors: Institut Lorrain du cœur et des vaisseaux, 5, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France. Electronic address: f.moulin@chu-nancy.fr.
authors: F
authors: F
authors: Moulin
authors: Service de gynécologie-obstétrique, CHR de Metz-Thionville, 1-3, rue du Friscaty, 57100 Thionville, France. Electronic address: e.welter@chr-metz-thionville.fr.
authors: E
authors: E
authors: Welter
authors: Service de gynécologie-obstétrique, maternité régionale universitaire, 10, rue du Docteur-Heydenreich, 54000 Nancy, France; Inserm U947, laboratoire IADI, 54500 Vandœuvre-lès-Nancy, France. Electronic address: olivier.morel@chu-nancy.fr.
authors: O
authors: O
authors: Morel
authors: Service de gynécologie-obstétrique, maternité régionale universitaire, 10, rue du Docteur-Heydenreich, 54000 Nancy, France; Inserm U947, laboratoire IADI, 54500 Vandœuvre-lès-Nancy, France. Electronic address: e.perdriolle-galet@chu-nancy.fr.
authors: E
authors: E
authors: Perdriolle-Galet
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*
keywords: Accouchement; Cardiopathie ischémique; Delivery; Fetal growth retardation; Grossesse; Ischaemic heart disease; Literature review; Pregnancy; Restriction de croissance intra-utérine; Revue de la littérature