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Previous Volume 349:52-59 July 3, 2003 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 29-year-old woman with a history of mitral stenosis who has a St. Jude Medical mitral-valve prosthesis presents for evaluation before attempting to conceive. She is concerned about the risks that pregnancy will confer on her and her child. How should she be evaluated and followed?

The Clinical Problem

Valvular heart disease in young women is most commonly due to rheumatic heart disease, congenital abnormalities, . . . [Full Text of this Article]

Cardiovascular Physiology of Pregnancy

Consequences of Valvular Heart Disease during Pregnancy

Strategies and Evidence

Evaluation

Pharmacologic Treatment

Specific Valvular Lesions

            Mitral Stenosis

            Mitral Regurgitation

            Aortic Stenosis

            Aortic Regurgitation

            Prosthetic Heart Valves

Areas of Uncertainty

Guidelines

Summary and Recommendations

Source Information

From the University of Texas Southwestern Medical Center, Dallas.

Related Letters:

Valvular Heart Disease in Pregnancy
Mulder B. J.M., Bleker O. P.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1387, Oct 2, 2003. Correspondence

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