Neha Haridas, (2022) A Prospective Observational Study on Cardiovascular Diseases among Pregnant Ladies using Echocardiography in Tertiary Care Center in Kanyakumari District. Masters thesis, Sree Mookambika Institute of Medical Sciences, Kulasekharam.
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Abstract
INTRODUCTION: Echocardiography plays a very important investigation to diagnose and also follow up in a pregnant women with heart diseases, because it is noninvasive and does not expose the patients to radiation. Echocardiography provides information about disease etiology, leads to accurate assessment of disease severity and is a powerful means of monitoring progression. AIMS AND OBJECTIVES: 1. To screen antenatal mothers for cardiac disease by transthoracic ECHO. 2. To find out the prevalence of cardiovascular disease among pregnant ladies using echocardiogram. 3. To classify the cardiac diseases complicating pregnancy. 4. To know the mode of delivery among cardiovascular. patients. MATERIALS AND METHODS: This a prosepective observational study conducted. Study was conducted from in Obstetrics and Gynaecology Department, Sree Mookambika Institute of Medical Science Kulasekharam, who fulfill the inclusion and exclusion criteria. Total 70 women will be included in the study. A detailed history with thorough general physical examination will be done. All women will be subjected to routine antenatal tests and Electrocardiography and Echocardiography (ECHO). Based on the symptoms all the patients will be classified according to New NYHA functional classification. Patients will be advised to have regular antenatal check-up thereafter. The mode of delivery and complications will be documented. RESULT: 70 patients were studied, among them 20 were diagnosed to have cardiac disease. Hence the prevalence of cardiac disease among the study population is 28.6%. The most common group of cardiac disease among pregnant females were rheumatic heart disease (65%). Most of them fall under NYHA Class-I (85%). 57% patients underwent normal vaginal delivery and 13% underwent lower segment c section. CONCLUSION: Occult Cardiac Diseases can be Picked up by Echocardiogram. In conclusion, Proper history, physical examinations with appropriate diagnostic test are essential for early diagnosis of the cardiac patient. Heart disease continues to be the major cause of maternal mortality and perinatal mortality. Hence in future maternal mortality in heart disease can be brought down significantly by proper counselling, improvement in medical, surgical, antenatal, intranatal, and postnatal care.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221916602 |
| Uncontrolled Keywords: | Newyork Heart Association (NYHA), Cardiovascular Diseases, Pregnant Ladies, Echocardiography, Tertiary Care Center. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Apr 2022 09:42 |
| Last Modified: | 20 Nov 2023 12:05 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19273 |
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