Infective endocarditis in pregnancy
Objective. To analyze the modern literature data characterizing the prevalence, etiology, clinical presentation, diagnosis, complications, outcomes, and treatment of infective endocarditis (IE) in pregnancy.Ponomareva E.Yu., Rogozhina I.E.
Material and methods. The paper includes data from foreign and Russian sources published in the past 10 years and found in PubMed on this topic.
Results. The paper gives current ideas on the prevalence, causes, and clinical features (premorbid experience, localization of valve injury, nature of visceral lesions), complications, prognosis, and outcomes of IE during pregnancy. It analyzes current approaches to IE diagnosis, its difficulties in pregnancy, and the reasons for their emergence, including those caused by changes in the cardiovascular system in pregnant women. It also discusses the aspects of management tactics for patients with IE during pregnancy: the features of drug therapy and the possibilities of cardiac surgery and prevention in the presence of risk factors.
Conclusion. Further investigations of various aspects of the problem of IE during pregnancy are needed to optimize patient management and to improve maternal and fetal prognosis. Achievements in modern medicine, as well as interdisciplinary interaction between specialists make it possible to preserve pregnancy and to save the life of both mother and baby even in the presence of a serious disease, such as infective endocarditis.
Keywords
infective endocarditis
pregnancy
References
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Received 19.07.2017
Accepted 22.09.2017
About the Authors
Ponomareva Elena Y., Candidate of Medical Science, associate professor of the hospital therapy department of the Faculty of Physiotherapy, V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia. 410012, Russia, Saratov, B. Kazachya str. 112. Tel.: +78452491437. E-mail: ponomareva_elena1@mail.ruRogozhina Irina Evgenievna, MD, Professor of the Department of Obstetrics and Gynecology FPK and PPS, V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia. 410012, Russia, Saratov, B. Kazachya str. 112. Tel.: +79050312722. E-mail: itg.r@yandex.ru
For citations: Ponomareva E.Yu., Rogozhina I.E. Infective endocarditis in pregnancy
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https://dx.doi.org/10.18565/aig.2018.3.5-9
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