Pregnancy following cardiac transplantation

Jodi S. Dashe, Kirk D. Ramin, Susan M. Ramin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Cardiac transplantation is becoming more common, with over 3,000 cases annually in the United States. The increase in the number of cases and survival rates has resulted in a rise in the number of women of reproductive age receiving transplants. Special considerations for pregnant cardiac transplant recipients include the development of a baseline tachycardia (vagal denervation), asymptomatic myocardial ischemia (sensory denervation), tachyarrhythmias, and maternal death due to rejection. Perinatal morbidity and mortality are increased due to a rise in the incidence of preterm delivery, hypertensive disorders, renal insufficiency, small for gestational age infants, and infectious complications. The obvious benefits of immunosuppressant medications far outweigh any presumed fetal risks. A team approach to management can result in the most favorable outcome for mother and child.

Original languageEnglish (US)
Pages (from-to)257-262
Number of pages6
JournalPrimary Care Update for Ob/Gyns
Volume5
Issue number5
DOIs
StatePublished - Sep 1998

Fingerprint

Denervation
Heart Transplantation
Tachycardia
Small for Gestational Age Infant
Pregnancy
Maternal Death
Perinatal Mortality
Immunosuppressive Agents
Renal Insufficiency
Myocardial Ischemia
Survival Rate
Mothers
Morbidity
Transplants
Incidence
Rejection (Psychology)
Transplant Recipients

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Nursing(all)

Cite this

Pregnancy following cardiac transplantation. / Dashe, Jodi S.; Ramin, Kirk D.; Ramin, Susan M.

In: Primary Care Update for Ob/Gyns, Vol. 5, No. 5, 09.1998, p. 257-262.

Research output: Contribution to journalArticle

Dashe, Jodi S. ; Ramin, Kirk D. ; Ramin, Susan M. / Pregnancy following cardiac transplantation. In: Primary Care Update for Ob/Gyns. 1998 ; Vol. 5, No. 5. pp. 257-262.
@article{c3fe82e9bd0e4f6585b1b3ad6dbf052a,
title = "Pregnancy following cardiac transplantation",
abstract = "Cardiac transplantation is becoming more common, with over 3,000 cases annually in the United States. The increase in the number of cases and survival rates has resulted in a rise in the number of women of reproductive age receiving transplants. Special considerations for pregnant cardiac transplant recipients include the development of a baseline tachycardia (vagal denervation), asymptomatic myocardial ischemia (sensory denervation), tachyarrhythmias, and maternal death due to rejection. Perinatal morbidity and mortality are increased due to a rise in the incidence of preterm delivery, hypertensive disorders, renal insufficiency, small for gestational age infants, and infectious complications. The obvious benefits of immunosuppressant medications far outweigh any presumed fetal risks. A team approach to management can result in the most favorable outcome for mother and child.",
author = "Dashe, {Jodi S.} and Ramin, {Kirk D.} and Ramin, {Susan M.}",
year = "1998",
month = "9",
doi = "10.1016/S1068-607X(98)00160-7",
language = "English (US)",
volume = "5",
pages = "257--262",
journal = "Primary Care Update for Ob/Gyns",
issn = "1068-607X",
publisher = "Elsevier BV",
number = "5",

}

TY - JOUR

T1 - Pregnancy following cardiac transplantation

AU - Dashe, Jodi S.

AU - Ramin, Kirk D.

AU - Ramin, Susan M.

PY - 1998/9

Y1 - 1998/9

N2 - Cardiac transplantation is becoming more common, with over 3,000 cases annually in the United States. The increase in the number of cases and survival rates has resulted in a rise in the number of women of reproductive age receiving transplants. Special considerations for pregnant cardiac transplant recipients include the development of a baseline tachycardia (vagal denervation), asymptomatic myocardial ischemia (sensory denervation), tachyarrhythmias, and maternal death due to rejection. Perinatal morbidity and mortality are increased due to a rise in the incidence of preterm delivery, hypertensive disorders, renal insufficiency, small for gestational age infants, and infectious complications. The obvious benefits of immunosuppressant medications far outweigh any presumed fetal risks. A team approach to management can result in the most favorable outcome for mother and child.

AB - Cardiac transplantation is becoming more common, with over 3,000 cases annually in the United States. The increase in the number of cases and survival rates has resulted in a rise in the number of women of reproductive age receiving transplants. Special considerations for pregnant cardiac transplant recipients include the development of a baseline tachycardia (vagal denervation), asymptomatic myocardial ischemia (sensory denervation), tachyarrhythmias, and maternal death due to rejection. Perinatal morbidity and mortality are increased due to a rise in the incidence of preterm delivery, hypertensive disorders, renal insufficiency, small for gestational age infants, and infectious complications. The obvious benefits of immunosuppressant medications far outweigh any presumed fetal risks. A team approach to management can result in the most favorable outcome for mother and child.

UR - http://www.scopus.com/inward/record.url?scp=0031663785&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031663785&partnerID=8YFLogxK

U2 - 10.1016/S1068-607X(98)00160-7

DO - 10.1016/S1068-607X(98)00160-7

M3 - Article

AN - SCOPUS:0031663785

VL - 5

SP - 257

EP - 262

JO - Primary Care Update for Ob/Gyns

JF - Primary Care Update for Ob/Gyns

SN - 1068-607X

IS - 5

ER -