Cardiac structural abnormalities: A population norm or a risk group during pregnancy, childbirth, postpartum and in newborn infants


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Objective. To summarize and analyze the evidence-based data analyses of cardiac structural abnormalities (CSAs), their distribution in the population, including in women in the perinatal period and in neonates, and the role of CSAs in the risk of complications. Material and methods. The review included data from foreign and Russian sources over the past 15 years. Results. CSAs in pregnant women are more common than could be supposed. In healthy pregnant women, hemodynamically insignificant mitral valve prolapse was concurrent with patent foramen ovale in 7.8% of cases, with atrial and ventricular septal aneurysm in 5.9%, with additional chords of the left ventricle in 10.4%; with malformations of the aortic valve leaflets in 7.8%, with calcification of the mitral valve leaflets in 2.6%, and with the dilated aortic root in 1.1%. Conclusion. The approach to managing patients with CSAs should be extremely careful in view of a high risk of complications. Complications, as well as current approaches to the definition and clinical relevance of these conditions are outlined. A separate role is given to the diagnosis of CSAs and to the role of executing Order No. 572-n in patients with CSAs in obstetrics and gynecology.

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作者简介

Tatyana Smolnova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: smoltat@list.ru
Doctor of Medicine, senior researcher of surgical department

Galina Nechaeva

Omsk State Medical University

Email: profnechaeva@yandex.ru
MD, professor, head of the Department of Internal Medicine and Family Medicine

Anatoly Martynov

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: anatmartynov@mail.ru
MD, Academician of the Russian Academy of Sciences, Professor of the Department of Hospital Therapy, senior researcher of the Department of Operative Gynecology

Ekaterina Bockeria

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_bokeriya@oparina4.ru
MD, head of the department of pathology of newborns and prematurity No. 2

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