CARDIOVASCULAR DISEASE AND PREGNANCY● 5% maternal deaths during pregnancy.
(VCCVP)
○ Valve damage (Rheumatic Fever or Kawasaki Disease)
○ Congenital anomalies (Atrial Septic Defect or Uncorrected Coarctation of the Aorta)
○ Coronary Arter Disease
○ Variscosities for Primigravida
�...
NCMA 219 WEEK 2.2 - Gestational
Disorder (part 2) Questions and Correct
Answers
CARDIOVASCULAR DISEASE AND PREGNANCY✅● 5% maternal deaths during
pregnancy.
(VCCVP)
○ Valve damage (Rheumatic Fever or Kawasaki Disease)
○ Congenital anomalies (Atrial Septic Defect or Uncorrected Coarctation of the Aorta)
○ Coronary Arter Disease
○ Variscosities for Primigravida
○ Peripatrum Heart Disease✅Cadiovascular diseases that causes difficulty during
pregnancy:
● Blood volume and cardiac output increases approximately 30%.
● Half of increase happens by 8 wks and maximized by mid-pregnancy.✅*
PREGNANCY AND THE CIRCULATORY SYSTEM
● Blood volume and cardiac output increases approximately ___%.
● Half of increase happens by ___ wks and maximized by mid-pregnancy.
Normal cardiac changes: (FHP)
○ Functional (innocent) or transient murmurs
○ Heart palpitations
○ Pathologic changes occurs due to increase in circulatory volume (peak: 28-32
wks)✅what is the normal cardiac changes?
CLASS I (UNCOMPROMISED)
CLASS II (SLIGHTLY COMPROMISED)
CLASS III (MARKEDLY COMPROMISED)
CLASS IV (SEVERELY COMPROMISED)✅WHAT ARE THE CLASSIFICATION OF
HEART DISEASE?
A. CLASS I (UNCOMPROMISED)✅● Ordinary physical activity causes no discomfort.
● No symptoms of cardiac insufficiency an no anginal pain.
A. CLASS I (UNCOMPROMISED)
B. CLASS II (SLIGHTLY COMPROMISED)
C. CLASS III (MARKEDLY COMPROMISED)
D. CLASS IV (SEVERELY COMPROMISED)
, D. CLASS IV (SEVERELY COMPROMISED)✅● Severe limitation of physical activity -
cardiac failure even at rest
● Advised to avoid pregnancy
A. CLASS I (UNCOMPROMISED)
B. CLASS II (SLIGHTLY COMPROMISED)
C. CLASS III (MARKEDLY COMPROMISED)
D. CLASS IV (SEVERELY COMPROMISED)
C. CLASS III (MARKEDLY COMPROMISED)✅● During less than ordinary activity,
woman experiences excessive fatigue, palpitations, dyspnea, or anginal pain
● Complete bed rest
A. CLASS I (UNCOMPROMISED)
B. CLASS II (SLIGHTLY COMPROMISED)
C. CLASS III (MARKEDLY COMPROMISED)
D. CLASS IV (SEVERELY COMPROMISED)
B. CLASS II (SLIGHTLY COMPROMISED)✅● Ordinary physical activity causes
excessive fatigue, palpitation, and dyspnea or anginal pain.
● Minimal limitation of physical activities.
A. CLASS I (UNCOMPROMISED)
B. CLASS II (SLIGHTLY COMPROMISED)
C. CLASS III (MARKEDLY COMPROMISED)
D. CLASS IV (SEVERELY COMPROMISED)
PERIPARTAL CARDIOMYOPATHY (RARE)✅* PERIPARTUM HEART DISEASE
● Cause is unknown
● 50% mortality rate
SCEC
● Shortness of breath
● Chest pain
● Edema
● Cardiomegaly✅4 SIGNS AND SYMPTOMS OF PERIPARTAL CARDIOMYOPATHY
(RARE)
RDO
● Reduce physical activity
● Diuretics and Digitalis therapy, Low-molecular wieght
heparin, immunosuppressive therapy
● Oral contraceptives are contraindicated✅WHAT ARE THE 3 MANAGEMENT OF
PERIPARTAL CARDIOMYOPATHY (RARE)?
ASSESSMENT OF A WOMAN WITH CARDIAC DISEASE
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