HEMODYNAMIC FEATURES OF PREGNANT WOMEN WITH ATRIAL SEPTAL DEFECT IN THE THIRD TRIMESTER OF PREGNANCY: A LITERATURE REVIEW
DOI:
https://doi.org/10.61751/ijmmr.2413-6077.2023.1.60Keywords:
congenital malformations, gestation, cardiovascular complications, risk factors, open oval window, pulmonary hypertensionAbstract
Due to the decline in mortality rates among children with heart disease, a significant number of such children have reached reproductive age. However, since knowledge about the impact of pregnancy on haemodynamics in women with heart disease is limited, this study is extremely relevant. The study aimed to provide a comprehensive review of current scientific sources and consolidate the knowledge gained on haemodynamic features in pregnant women with atrial septal defects. Several methods were used in the study: analysis, including comparative analysis, synthesis, bibliography, systematisation, and categorisation. A two-stage approach in the form of a systematic literature review was also used. The complex haemodynamic changes that occur in pregnant women, both in normal and pathological conditions, in particular in pregnant women with atrial septal defect, are considered. The question is specified as to why hemodynamic changes become most significant in the third trimester of pregnancy, their impact on the course of pregnancy, and the outcome of labor completion. The topic of acute and chronic complications of atrial septal defect and modern principles of their prevention and treatment are covered. Special attention is paid to the methods of correction of this heart defect, considering their advantages, disadvantages and possible complications. The experience of perinatal centres in several European countries in managing pregnancies in women with cardiovascular disease, in particular with atrial septal defects, is reviewed. Gaps in knowledge about the prevalence of these defects and risk factors were filled. The study addressed the lack of a comprehensive view of this problem: from pathophysiological basis and epidemiology to treatment and modification of risk factors. The study is of great practical value for healthcare professionals, as it can serve as a basis for the development of preventive programmes and other interventions for pregnancies of women with congenital cardiovascular disease
Received: 24.02.2023 | Revised: 03.05.2023 | Accepted: 30.05.2023
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