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Pattern of heart disease and pregnancy seen in a Malaysian hospital

Ong HC 1 , Puraviappan AP 2 , Sinnathuray TA 3 , Chong CH 4 , Sen DK 5

Affiliations 

  • 1 H.C. Ong, MBBS, MRCOG, AM, Lecturer, Departments of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 2 A.P. Puraviappan, MBBS, MRCOG, FRCS. Lecturer, Departments of Obstetrics and Gynaecology. University of Malaya, Kuala Lumpur, Malaysia
  • 3 T.A. Sinnathuray, AM, MBBS, FRCS, FRCOG, FICS, FACS, Professor, Departments of Obstetrics and Gynaecology, University of Malaya, Kuala Lumpur, Malaysia
  • 4 C.H. Chong, MBBS, FRCOG, MPH, AM. Professor, Departments of Obstetrics and Gynaecology. Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 5 D.K. Sen, MBBS, FRCS, FRCOG, PhD. Associate Professor, Departments of Obstetrics and Gynaecology, University of Malaya, Kuala Lumpur, Malaysia
Singapore Med J, 1978 Jun;19(2):93-7.
PMID: 751193

Abstract

Pregnancy was associated with cardiac disease in 0.94% of pregnancies. 0.66% with rheumatic lesions and 0.25'\'0 with congenital lesions. The Malays had a higher incidence than the Chinese and Indians. Most of the cardiac pregnancies were in patients between 20-30 years of age and gravida 1 to 4. Nevertheless. still about 30% of cardiac pregnancies were in patients 30 years and over in age and 20% in patient gravida 5 and above. Rheumatic lesions predominated. involving mainly the mitral valve. of which the major lesion was mitral stenosis. PDA. ASD and VSD were the major congenital lesions. Major antepartum matemal complications included arrhythmias. heart failure, anemia and pre-eclampsia. Of the arrhythmias. atrial fibrillation and sinus tachycardia occurred most commonly. A high incidence of prophylactic forceps and vacuum deliveries
was evident. There was one matemal death. The majority of infants were bom alive and well.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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