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Obstetrics I - OSCE > Heart Diseases > Flashcards

Heart Diseases Flashcards

(45 cards)

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1
Q
A
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2
Q

Types of Heart Disease in Pregnancy

A
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3
Q

Classifications of Heart Disease in Pregnancy

A
  • NEW YORK HEART ASSOCIATION (NYHA) CLASSIFICATION: CLINICAL CLASSIFICATION.
  • ACOG CLASSIFICATION: ACCORDING TO RISK OF MATERNAL MORTALITY.
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4
Q

Classifications of Heart Disease in Pregnancy

  • NHYA
A
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5
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class I)
A
  • Asymptomatic (uncompromised) .
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6
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class II)
A
  • Symptomatic with heavy exertion (slightly compromised)
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7
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class III)
A
  • Symptomatic with light exertion (markedly com promised)
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8
Q

Classifications of Heart Disease in Pregnancy

  • NHYA (Class IV)
A
  • Symptomatic at rest (severely compromised).
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9
Q

Classifications of Heart Disease in Pregnancy

  • ACOG
A
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10
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group I)
A
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11
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group II)
A
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12
Q

Classifications of Heart Disease in Pregnancy

  • ACOG (Group III)
A
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13
Q

Effects of Pregnancy on Heart Disease

A
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14
Q

Effects of Pregnancy on Heart Disease

  • HF
A
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15
Q

Effects of Pregnancy on Heart Disease

  • Acute PE
A

Due to acute LSHF

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16
Q

Effects of Pregnancy on Heart Disease

  • Infective Endocarditis
A

More è puerperal sepsis.

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17
Q

Effects of Heart Disease on Pregnancy

A

Maternal & Fetal

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18
Q

Effects of Heart Disease on Pregnancy

  • Maternal
A
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19
Q

Effects of Heart Disease on Pregnancy

  • Fetal
20
Q

Dx of Heart Disease on Pregnancy

21
Q

Dx of Heart Disease on Pregnancy

  • Most Reliable Investigation
Study These Flashcards
A

Echocardiography:

22
Q

Managment of Heart Disease on Pregnancy

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A
  • Preconceptional care
  • During Pregnancy
  • During Delivery
  • Neonatal Care
  • Post Natal Care
23
Q

Managment of Heart Disease on Pregnancy

  • Preconceptional Care
24
Q

Managment of Heart Disease on Pregnancy

  • During Pregnancy
Study These Flashcards
A
  • ANC
  • Medical Care
  • Observation
  • Corrective Cardiac Suregry
  • TOP
    TTT of Complications
25
ANC for **Heart Disease on Pregnancy**
26
Frequency of Visits in **Heart Disease on Pregnancy** - When to hospitalize Class I & II?
1. () 28-32 weeks. 2. At 36 weeks. 3. At any time when complications occur.
27
Medical Care in **Heart Disease on Pregnancy**
- Antibiotics - Prevention of HF - Prevention of acute pulmonary edema
28
Observation of **Heart Disease on Pregnancy**
29
Corrective Cardiac Surgery for **Heart Disease on Pregnancy**
30
Corrective Cardiac Surgery for **Heart Disease on Pregnancy** - Indications
- chronically ill patients not responding to medical treatment. - Although it is better to be done after pregnancy
31
Corrective Cardiac Surgery for **Heart Disease on Pregnancy** - Time
When indicated, it is better to be done during 2nd trimester (general rule of surgery during pregnancy).
32
Corrective Cardiac Surgery for **Heart Disease on Pregnancy** - Types
- Closed cardiac surgery (valvotomy): → Safer during pregnancy. - Opened cardiac surgery (valve replacement): → Not preferred during pregnancy.
33
Indications of TOP in **Heart Disease on Pregnancy** (Induction of Therapeutic Abortion)
34
Time of TOP in **Heart Disease on Pregnancy** (Induction of Therapeutic Abortion)
- Done before 12 weeks (after 12 weeks, risk of TOP is > risk of continuation).
35
Method of TOP in **Heart Disease on Pregnancy** (Induction of Therapeutic Abortion)
Suction evacuation under heavy sedation & prophylactic antibiotics.
36
TTT of Complications in **Heart Disease on Pregnancy** (Induction of Therapeutic Abortion)
37
Managment of **Heart Disease on Pregnancy** - Managment of **Delivery**
38
Managment of **Heart Disease on Pregnancy** during **Delivery** - Time of Delivery
Usually pregnancy is allowed to continue till term & elective preterm delivery is rarely indicated in cardiac cases.
39
Managment of **Heart Disease on Pregnancy** during **Delivery** - Methods of Delivery
Vaginal & CS
40
Managment of **Heart Disease on Pregnancy** during **Delivery** - Indications of Vaginal Delivery
The rule unless CS is indicated.
41
Precautions of vaginal Delivery in Managment of **Heart Disease on Pregnancy** - During 1st Stage
42
Precautions of vaginal Delivery in Managment of **Heart Disease on Pregnancy** - During 2nd Stage
- Avoid bearing down. - Shortening of 2nd stage by ventouse (better) or low forceps.
43
Precautions of vaginal Delivery in Managment of **Heart Disease on Pregnancy** - During 3rd Stage
44
Indications of CS Delivery in cases of **Heart Disease in Pregnancy**
45
Managment of **Surgically Corrected Heaty in pregnancy** - Cardiac Valve Replacment

Obstetrics I - OSCE (32 decks)

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