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<p>About the Editor ix</p> <p>List of Contributors x</p> <p>Preface xiii</p> <p>Acknowledgments xiv</p> <p><b>Part I Physiologic Changes During Normal Pregnancy and the Puerperium 1<br /><br /></b>1 Hemodynamic and Cardiac Function 3<br /><i>Ofer Havakuk and Uri Elkayam</i></p> <p><b>Part II Cardiac Evaluation of the Pregnant Woman 17</b></p> <p>2 Cardiovascular Evaluation During Pregnancy 19<br /><i>Uri Elkayam</i></p> <p>3 Cardiovascular Imaging in the Pregnant Patient 32<br /><i>Patrick Colletti and Uri Elkayam</i></p> <p><b>Part III Cardiac Disorders and Pregnancy 41</b></p> <p>4 Risk Assessment Prior and During Pregnancy 43<br /><i>Samuel C. Siu and Candice K. Silversides</i></p> <p>5 Congenital Heart Disease and Pregnancy 60<br /><i>Candice K. Silversides, Jack M. Colman, and Samuel C. Siu</i></p> <p>6 Native Valvular Heart Disease and Pregnancy 75<br /><i>Uri Elkayam</i></p> <p>7 Pregnancy in the Patient with Prosthetic Heart Valves 90<br /><i>Uri Elkayam</i></p> <p>8 Myocarditis and Pregnancy 107<br /><i>Avraham Shotan and Andrei Keren</i></p> <p>9 Pericardial Disorders and Pregnancy 116<br /><i>Marla A. Mendelson</i></p> <p>10 Peripartum Cardiomyopathy 128<br /><i>Sorel Goland and Uri Elkayam</i></p> <p>11 Dilated Cardiomyopathy and Pregnancy 155<br /><i>Kathleen Stergiopoulos and Fabio V. Lima</i></p> <p>12 Hypertrophic Cardiomyopathy and Pregnancy 167<br /><i>Iris M. van Hagen, Uri Elkayam, Sorel Goland, and Jolien W. Roos-Hesselink</i></p> <p>13 Left Ventricular Noncompaction 181<br /><i>Radha J. Sarma</i></p> <p>14 Acute Myocardial Infarction and Pregnancy 201<br /><i>Uri Elkayam and Ofer Havakuk</i></p> <p>15 Cardiac Arrhythmias and Pregnancy 220<br /><i>Danna Spears and Uri Elkayam</i></p> <p>16 Pulmonary Arterial Hypertension and Pregnancy 252<br /><i>Dianne Zwicke, Sara Paulus, and Vinay Thohan</i></p> <p>17 Infective Endocarditis 261<br /><i>Ramin Ebrahimi, Michael Shenoda, Sheila Sahni, and David Fisk</i></p> <p><b>Part IV Vascular Disease in Pregnancy 275</b></p> <p>18 Vascular Dissections and Aneurysms During Pregnancy 277<br /><i>Afshan B. Hameed</i></p> <p>19 Marfan Syndrome and Pregnancy 285<br /><i>Sorel Goland and Uri Elkayam</i></p> <p>20 Non-Marfan Aortopathies and the Pregnant Patient 305<br /><i>John Bois and Heidi Connolly</i></p> <p>21 Takayasu’s Arteritis and Pregnancy 319<br /><i>Abha Khandelwal</i></p> <p>22 Thromboembolic Disease in Pregnancy 326<br /><i>Courtney C. Bilodeau and Karen Rosene-Montella</i></p> <p>23 Amniotic Fluid Embolism and Pregnancy 334<br /><i>Irene A. Stafford, Steven L. Clark, and Gary A. Dildy</i></p> <p>24 Hypertension During Pregnancy 339<br /><i>Chonyang L. Albert and Leslie Cho</i></p> <p>25 Syncope in Pregnancy 349<br /><i>Paul S. Gibson</i></p> <p><b>Part V Cardiac Surgery and Catheter Based Interventions During Pregnancy 359</b></p> <p>26 Cardiac Surgery During Pregnancy 361<br /><i>Anita Nguyen and Hartzell V. Schaff</i></p> <p>27 Catheter-Based Interventions in Women with Heart Disease During Pregnancy 370<br /><i>Anil Mehra, Gassan Muadi, Pavan Reddy, and Uri Elkayam</i></p> <p>28 Analgesia and Anesthesia During Pregnancy, Labor, and Delivery 389<br /><i>Katherine W. Arendt</i></p> <p>29 Cardiopulmonary Resuscitation of Pregnant Women 397<br /><i>Joan Briller</i></p> <p>30 Pregnancy After Cardiac Transplantation 419<br /><i>Serban Constantinescu, Dawn P. Armenti, Lisa A. Coscia, Lynn R. Punnoose, John M. Davison, and Michael J. Moritz</i></p> <p><b>Part VI Cardiovascular Drug Therapy During Pregnancy 433</b></p> <p>31 Pharmacokinetics of Drugs in Pregnancy and Lactation 435<br /><i>Irving Steinberg</i></p> <p>32 Cardiovascular Drugs in Pregnancy and Lactation 456<br /><i>Petronella G. Pieper, Uri Elkayam, Joy Eskandar, and Titia P.E. Ruys</i></p> <p>33 Tocolytic Therapy in the Cardiac Patient 491<br /><i>Joseph G. Ouzounian</i></p> <p>34 Fertility Control in the Cardiac Patient 497<br /><i>Joan Briller, Mark R. Johnson, and Jolien W. Roos-Hesselink</i></p> <p><b>Part VII Labor and Delivery 513</b></p> <p>35 Management of Labor and Delivery in a Cardiac Patient 515<br /><i>Rohan D’Souza and Mathew Sermer</i></p> <p>36 Cardiac Effects of Drugs Used for Induction of Labor and Prevention and Treatment of Postpartum Hemorrhage 530<br /><i>Mark R. Johnson</i></p> <p>Index 537</p>

<p><b>Uri Elkayam, MD</b>, Professor of Medicine, Obstetrics, and Gynecology and Director of Maternal Cardiology, University of Southern California, Los Angeles, CA, USA

<p><b>The essential clinical reference guide to maternal cardiology</b> <p><i>Cardiac Problems in Pregnancy</i> offers clinicians the most detailed and comprehensive guide to diagnosing and managing pregnancy-associated cardiovascular diseases currently available. Covering a wide spectrum of congenital and acquired cardiovascular conditions, its extensive contents examine diseases of the heart with an expert awareness of the implications of pregnancy and the attendant physiological changes it brings. Such guidance is vitally required in an age in which congenital and acquired heart diseases are the leading causes of non-obstetrical maternal morbidity and mortality. <p>Featuring 36 new or extensively revised chapters, this fourth edition of the book complements coverage of the latest research and clinical advances with a complete and up-to-date bibliography of literature on pregnancy in women with cardiovascular conditions. It also serves as a practical, step-by-step companion for those caring for heart disease patients during pregnancy, labor, and the post-partum period. Contents include: <ul> <li>Coverage of all elements of maternal cardiology</li> <li>Newly written chapters featuring fresh research and data</li> <li>Guidance on performing risk assessments and interventions both prior to and during gestation</li> <li>Explanations of a range of diagnostic and therapeutic approaches to cardiovascular disease in pregnant patients</li> </ul> <p>Drawing on expertise from across the fields of cardiovascular medicine, obstetrics, anesthesiology, cardiac surgery, pharmacology, and clinical science, <i>Cardiac Problems in Pregnancy</i> is designed to give invaluable support to all medical professionals involved in maximizing the safety and success of cardiologically complex pregnancies.

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