Cardiovascular Disorders in Pregnancy

Aka: Cardiovascular Disorders in Pregnancy, Vascular Disorders in Pregnancy, EKG Changes During Pregnancy, Electrocardiogram Changes in Pregnancy

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II. Associated Conditions

  1. Hypertensive Disorders of Pregnancy
    1. Pregnancy Induced Hypertension (Preeclampsia)
    2. HELLP Syndrome
    3. Chronic Hypertension in Pregnancy
    4. Gestational Hypertension
    5. Cocaine Abuse in Pregnancy
    6. Blood Pressure Management in Pregnancy
  2. Postpartum Cardiomyopathy
  3. Venous Thromboembolism
    1. Amniotic Fluid Embolism (Anaphylactoid Syndrome of Pregnancy)
    2. Pulmonary Embolism in Pregnancy
    3. Deep Vein Thrombosis in Pregnancy
  4. Cardiac Arrest in Pregnancy
  5. Cerebrovascular Accident in Pregnancy
  6. Spontaneous Coronary Artery Dissection
  7. Thoracic Aortic Dissection
    1. Incidence increases during pregnancy and peaks in third trimester and Postpartum Period
    2. Still rare in pregnancy without other predisposing factors (e.g. Collagen vascular disease, Hypertension)
  8. Paroxysmal Supraventricular Tachycardia
    1. Adenosine and Beta Blockers are both consider safe options (if no other contraindications)

III. Electrocardiogram: Normal EKG Findings in pregnancy

  1. Flat or inverted T Wave in leads III, V1 and V2
  2. Q Waves in leads III and aVF

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