Reproductive-aged women with structural heart disease who become pregnant as well as postreproductive-aged women with this condition represent a significant proportion of patients seen by obstetrician– gynecologists. Usually, their conditions are complex, and a basic knowledge of the anatomy and physiology of the heart is required. Additionally, understanding the effect of pregnancy on women with structural heart disease is critically important to optimizing maternal and fetal outcomes. This monograph addresses the pathophysiology, signs and symptoms, screening and diagnosis, basic management, and suggested counseling for an obstetric–gynecologic patient with structural heart disease.
Copyright March 2017 by the American College of Obstetricians and Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without prior permission from the publisher.
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Official Citation: Frisoli T, Voeltz MD. Structural heart disease: summary. Clinical Updates in Women’s Health Care. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;129:600.
This document provides a clinically oriented overview of a condition or issue that affects women’s health. It was developed by the American College of Obstetricians and Gynecologists’ Editorial Board for Clinical Updates in Women’s Health Care in collaboration with Tiberio Frisoli, MD, and Michele Doughty Voeltz, MD.
The series represents the knowledge and experience of the authors and does not necessarily reflect the policy of the American College of Obstetricians and Gynecologists. The recommendations do not dictate an exclusive course of treatment or of practice. Variations, taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice, may be appropriate.
The full-text version of this document is available at www.clinicalupdates.org