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A clinical approach to heart disease in pregnancy

Part 2: specific considerations in management

Department of Obstetries and Gynaecology. Clinical School, international Medical University, Julian Research 70 300 Negeri Sembitan, Malaysia. (corresponding author)

Hendrick Chia, Lecturer

Division of Cardiology. National University Malaysia.

Raman Subramaniam, Dean of Clinical School Professor and Head of Department of Obstetries and Gynaecology

International Medical University, Malaysia.

Part 1 of this article discussed the classification, physiological changes in pregnancy, investigations and some general aspects in the management of heart disease in pregnancy. Part 2 will now discuss the specific management with reference to each classification in terms of their risks, giving examples of clinical cases.

Keywords Keywords / heart disease / hypertension / maternal mortality / myocardial infarction / pregnancy