Preconception counseling for women with congenital heart disease

Chun Wei Lu, Mei Hwan Wu, Jou Kou Wang, Min Tai Lin, Chun An Chen, Shenn Nan Chiu, Hsin Hui Chiu

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

With advances that have been made over the recent decades in transcatheter and surgical interventions, most patients with congenital heart disease (CHD) can survive into adulthood. Overall, probably half of these surviving patients are female. When these female CHD patients reach childbearing age, however, pregnancy management will be a major issue. In order to meet the demands of fetal growth, the maternal cardiovascular system starts a series of adaptations beginning in early pregnancy. These adaptations include: decreased systemic and pulmonary vascular resistances, decreased blood pressure, expansion of the blood volume, increased heart rate and increased cardiac output. For women with CHD, this hemodynamic alteration may increase the risks of adverse cardiovascular events as well as the fetal and neonatal complications. Therefore, proper risk stratification and effective counseling for women with CHD who are planning their pregnancies is an important undertaking.

Original languageEnglish
Pages (from-to)500-506
Number of pages7
JournalActa Cardiologica Sinica
Volume31
Issue number6
DOIs
Publication statusPublished - Nov 1 2015
Externally publishedYes

Keywords

  • Congenital heart disease
  • Pregnancy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Lu, C. W., Wu, M. H., Wang, J. K., Lin, M. T., Chen, C. A., Chiu, S. N., & Chiu, H. H. (2015). Preconception counseling for women with congenital heart disease. Acta Cardiologica Sinica, 31(6), 500-506. https://doi.org/10.6515/ACS20150319B