Pregnancy and Cardiovascular Disease

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Prepregnancy Risk Stratification

Risk Factors

  1. History of heart failure, TIA, CVA, or Arrhythmia
  2. NYHA Class II Heart Failure
  3. Cyanosis
  4. Mitral Valve Area < 2.0 cm; Aortic Valve Area < 1.5; LVOT > 30 mm Hg
  5. EF < 40%

Contraindications to

  • Severe Pulmonary Hypertension (3/4 Systemic Pressure)
  • Severe Valvular Disease
  • Ventricular Dysfunction
    • EF < 40% or Class III or IV Heart Failure
  • Marfan’s Syndrome (Aorta size > 4.0 cm)
  • Severe Cyanosis
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