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Table of Contents:

Preface
Contributors
Pt. I Physiologic Changes During Normal Pregnancy and the Puerperium 1
1 Hemodynamics and Cardiac Function During Normal Pregnancy and the Puerperium 3
Pt. II Cardiac Evaluation of the Pregnant Woman 21
2 Cardiac Evaluation During Pregnancy 23
3 Cardiovascular Imaging in the Pregnant Patient 33
Pt. III Cardiac Disorders and Pregnancy 37
4 Congenital Heart Disease and Pregnancy 39
5 Rheumatic Valvular Disease and Pregnancy 55
6 Pregnancy in the Patient with Artificial Heart Valve 61
7 Myocarditis and Pregnancy 79
8 Peripartal Cardiomyopathy 87
9 Hypertrophic Cardiomyopathy and Pregnancy 101
10 Pericardial Disorders and Pregnancy 111
11 Coronary Artery Disease in the Childbearing Age 121
12 Acute Myocardial Infarction and Pregnancy 131
13 Cardiac Arrhythmias and Pregnancy 155
14 Mitral Valve Prolapse and Pregnancy 175
15 Primary Pulmonary Hypertension and Pregnancy 183
16 Infective Endocarditis 191
Pt. IV Vascular Disease in Pregnancy 199
17 Vascular Dissections and Aneurysms During Pregnancy 201
18 Marfan Syndrome and Pregnancy 211
19 Thromboembolic Disease in Pregnancy 223
20 Takayasu's Arteritis and Pregnancy 237
21 Amniotic Fluid Embolism 247
22 Hypertension During Pregnancy: Diagnosis, Pathophysiology, and Management 257
Pt. V Cardiac Surgery and Pregnancy 275
23 Cardiac Surgery During Pregnancy 277
24 Analgesia and Anesthesia During Pregnancy 285
25 Cardiopulmonary Resuscitation of Pregnant Women 315
26 Pregnancy After Cardiac Transplantation 327
Pt. VI Cardiovascular Drugs in Pregnancy 339
27 Pharmacokinetics of Drugs in Pregnancy and Lactation 341
28 Diuretics in Pregnancy 351
29 The Use of [beta]-Adrenergic Blocking Agents in Pregnancy and Lactation 357
30 Antiarrhythmic Drugs During Pregnancy and Lactation 373
31 Use of Vasodilators During Pregnancy 391
32 Angiotensin-Converting Enzyme Inhibitors and Pregnancy 399
33 Anticoagulation in Pregnancy 407
34 Digitalis Glycosides in Pregnancy 419
35 Tocolytic Therapy in the Cardiac Patient 437
36 Lipid-Lowering Drugs in Pregnancy and Lactation 445
Pt. VII Pregnancy Prevention in the Cardiac Patient 451
37 Fertility Control in the Cardiac Patient 457
38 Embryology of the Heart 467
39 Biophysics of the Developing Heart 481
40 Autonomic Control of Fetal Cardiac Activity 525
41 The Cardiac Function in the Fetus 533
42 The Normal and Abnormal Fetal Heart Rate 553
43 Intrauterine Electrocardiography and the Systolic Time Intervals of the Fetal Cardiac Cycle 561
44 Fetal Heart Rate and Rhythm Disorders 583
45 Intrauterine Therapy of Rhythm and Rate Disorders and Heart Failure 603
46 Doppler Ultrasound In Pregnancy 615
47 Fetal Echocardiography 629
48 Prenatal Screening for Congenital Heart Disease 659
49 Genetic Causes of Cardiac Diseases 671
50 Infectious Causes of Congenital Cardiac Anomalies 709
51 Metabolic Causes of Congenital Cardiac Abnormalities 713
52 Environmental Causes of Congenital Heart Abnormalities 721
53 Management of the Pregnancy Complicated by Fetal Congenital Heart Defects 725
54 Recognition and Management of Congenital Heart Disease in the Neonate 733
Index 761