Skip to main content
SpringerLink
Log in

Rheumatic Heart Disease

  • Chapter
Principles of Medical Therapy in Pregnancy

  • 22 Accesses

Abstract

The major cause of valve disease is rheumatic fever. However, the incidence of acute rheumatic fever has fallen rapidly in the United States during the last three decades. Therefore, there has been a concomitant decline in rheumatic heart disease. Nonetheless, it is still the most common form of heart disease in pregnancy reported by most centers in this country. Furthermore, rheumatic fever and rheumatic heart disease continue to be a worldwide problem. 1–3 The reduction in this country is attributed to such factors as improved nutrition and general living conditions, prompt identification and treatment of streptococcal infection, and appropriate rheumatic fever prophylaxis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Bisno AL: Worldwide control of rheumatic fever. Ann Intern Med 91: 918–919, 1979

    PubMed  CAS  Google Scholar 

  2. Padmavati S: Rheumatic fever and rheumatic heart disease in developing countries. Bull WHO 56: 543–550, 1978

    PubMed  CAS  Google Scholar 

  3. Krause RM: The influence of infection on the geography of heart disease. Circulation 60: 972–976, 1979

    PubMed  CAS  Google Scholar 

  4. Stollerman GH: Rheumatic Fever and Streptococcal Infection. New York,, Grune & Stratton, 1975.

    Google Scholar 

  5. Wannamaker LW: The chain that links the heart to the throat. Circulation 48: 9–18, 1973

    PubMed  CAS  Google Scholar 

  6. Stollerman GH: Nephritogenic and rheumatogenic group A streptoccocci. J. Infect Dis 120: 258–263, 1969

    Article  PubMed  CAS  Google Scholar 

  7. Bisno AL: The concept of rheumatogenic and non-rheu¬matogenic group A streptococci, in Read SE, Zabriskie JB (eds): Streptococcal Diseases and the Immune Response. New York, Academic Press, 1980, p 789

    Google Scholar 

  8. Rammelkamp CH, Denny FW, Wannamaker LW: Studies on the epidemiology of rheumatic fever in the armed services, in Thomas L (ed): Rheumatic Fever. Minneapolis, University of Minnesota Press, 1952, p 72

    Google Scholar 

  9. Ueland, K, Metcalfe J: Acute rheumatic fever in pregnancy. Am J Obstet Gynecol 95: 586–587, 1966

    PubMed  CAS  Google Scholar 

  10. Clinch J: Chorea gravidarum. Hosp Med 2: 317, 1967

    Google Scholar 

  11. Lewes BV, Parsons M: Chorea gravidarum. Lancet 1: 284–286, 1966

    Google Scholar 

  12. Szekely P, Turner R, Snaith L: Pregnancy and the changing patterns of rheumatic heart disease. Br Heart J 35: 1293–1303, 1973

    Article  PubMed  CAS  Google Scholar 

  13. Hibbard LT: Maternal mortality due to cardiac disease. Clin Obstet Gynecol 18: 27–36, 1975

    PubMed  CAS  Google Scholar 

  14. Schenker JG, Polishuk WZ: Pregnancy following mitral valvotomy; a survey of 182 patients. Obstet Gyneco132: 214–220, 1968

    Google Scholar 

  15. Waliace WA, Harken DE, Ellis LB: Pregnancy following closed mitral valvuloplasty; a longterm study with remarks covering the necessity for careful cardiac management. JAMA 217: 297–304, 1971

    Article  Google Scholar 

  16. Szekely P, Snaith L: Atrial fibrillation and pregnancy. Br Med J 1: 1407–1410, 1961

    Article  PubMed  CAS  Google Scholar 

  17. Ferraris G, Gambotto C: Cesarean section as the method of choice for patients with cardiac decompensation. Minerva Gynecol 14: 108, 1962

    Google Scholar 

  18. Szekely P, Snaith L: Heart Disease and Pregnancy. Edin-burgh, London, Churchill Livingston, 1974

    Google Scholar 

  19. Miller M, Buchanan N, Cane RD, et al: Two mitral valve replacements during the course of a single pregnancy. Inten-sive Care Med 4 41–42, 1978

    Article  CAS  Google Scholar 

  20. Estafanous FG, Buckley S: Management of anesthesia for open heart surgery during pregnancy. Cleveland Clin Q 43: 121–124, 1976

    CAS  Google Scholar 

  21. Koh KS, Friesen RM, Livingstone RA, et al: Fetal monitoring during maternal cardiac surgery with cardiopulmonary by-pass. Can Med Assoc J 112: 1102–1104, 1975

    PubMed  CAS  Google Scholar 

  22. Levy DL, Warriner RA, Burgess GE III: Fetal response to cardiopulmonary bypass. Obstet Gynecol 56: 112–115, 1980

    PubMed  CAS  Google Scholar 

  23. Ueland K, McAnulty JH, Ueland FR, et al: Special considerations in the use of cardiovascular drugs. Clin Obstet Gynecol 24: 809–823, 1981

    Article  PubMed  CAS  Google Scholar 

  24. LeOrme M, Lewis PJ, Deswiet M, et al: May mothers given warfarin breastfeed their infants? Br Med J 1: 1564–1565, 1977

    Article  PubMed  CAS  Google Scholar 

  25. Silverman ME, Hurst JW: The mitral complex: Clues to its affections, in Likoff W (ed): Cardiovascular Clinic, Vol V2, Valvular Heart Disease. Philadelphia, FA Davis, 1973, p. 37

    Google Scholar 

  26. Greenberg BH, Massie BM, Brundage BA, et al: Beneficial effects of hydralazine in severe mitral regurgitation. Circulation 58: 273, 1978

    PubMed  CAS  Google Scholar 

  27. Campbell M: The incidence and later distribution of malfor-mations of the heart, in Watson H(ed): Paediatric Cardiology. St Louis, CV Mosby, 1968, p. 71

    Google Scholar 

  28. Roberts WC: Valvular, subvalvular, and supravalvular aortic stenosis, morphologic features. Cardiovasc Clin 5: 97–126, 1973

    PubMed  CAS  Google Scholar 

  29. Ross J Jr, Braunwald E: Aortic stenosis. Circulation 38 (Suppl): V61–V67, 1968

    Google Scholar 

  30. Arias F, Pineda J: Aortic stenosis and pregnancy. J Reprod Med 20: 229–232, 1978

    PubMed  CAS  Google Scholar 

  31. Rotman M, Morris J, Behar VS, et al: Aortic valvular disease: Comparison of types and their medical and surgical management. Am J Med 51: 241–257, 1971

    Article  PubMed  CAS  Google Scholar 

  32. Stapleton JS, Harvey WP: A clinical analysis of aortic incompetence. Postgrad Med 46: 156–165, 1969

    PubMed  CAS  Google Scholar 

  33. Roberts WC: Anatomically isolated aortic valvular disease: The case against its being of rheumatic etiology. Am J Med 49: 151–159, 1970

    Article  PubMed  CAS  Google Scholar 

  34. Spagnulo M, Kloth H, Taranta A, et al: Natural history of rheumatic aortic regurgitation: Criteria predictive of death, congestive heart failure, and angina in young patients. Circulation 44: 368–380, 1971

    Google Scholar 

  35. Burwell CS, Metcalf J: Heart Disease in Pregnancy, Physiology and Management. Boston, Little, Brown, 1958

    Google Scholar 

  36. Greenberg BH, DeMots H, Murphy E, et al: Beneficial effects of hydralazine on rest and exercise hemodynamics in patients with chronic severe aortic insufficiency. Circulation 62: 49–54, 1980

    PubMed  CAS  Google Scholar 

  37. Flemming D, Juanmin P, Kremer R: Organic tricuspid pathology in rheumatic valvulopathies. Acta Cardio130: 155–170, 1975

    Google Scholar 

  38. Banks T: Infective endocarditis in heroin addicts. Am J Med 55: 444–451, 1973

    Article  PubMed  CAS  Google Scholar 

  39. Dreyer MP: Heroin-associated infective endocarditis. A report of 28 cases,. Ann Intern Med 78: 699–702, 1973

    PubMed  CAS  Google Scholar 

  40. Ueland K, Novy MJ, Metcalfe J: Hemodynamic responses of patients with heart disease to pregnancy and exercise. Am J Obstet Gynecol 113: 47–59, 1972

    PubMed  CAS  Google Scholar 

  41. Niswander KR, Berendes H, Deutschberger J, et al: Fetal morbidity following potentially anoxygenic obstetric conditions: V. Organic heart disease. Am J Obstet Gynecol 98: 871–876, 1967

    PubMed  CAS  Google Scholar 

  42. Chesley LC: Severe rheumatic cardiac disease and pregnancy; the ultimate prognosis. Am J Obstet Gynecol 136: 552–558, 1980

    PubMed  CAS  Google Scholar 

  43. Handjani AM, Boandgray A, Egytedari A: Grand multiparity and rheumatic heart disease. Obstet Gynecol 32: 210–213, 1968

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Kent Ueland
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Rush Medical College, Chicago, Illinois, USA

    Norbert Gleicher M.D. (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman) (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman)

  2. Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, Chicago, Illinois, USA

    Norbert Gleicher M.D. (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman) (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Plenum Publishing Corporation

About this chapter

Cite this chapter

Ueland, K. (1985). Rheumatic Heart Disease. In: Gleicher, N. (eds) Principles of Medical Therapy in Pregnancy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2415-7_104

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2415-7_104

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9471-9

  • Online ISBN: 978-1-4613-2415-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation