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The risks of delay in diagnosis of breathlessness in pregnancy
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Morley CA, Lim BA: The risks of delay in diagnosis of breathlessness in pregnancy. BMJ 1995, 311:183-184. If heart disease is not suspected and pregnant patients with pulmonary edema are admitted under general physicians the outcome may be fatal.
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Propranolol for pulmonary oedema in mitral stenosis
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Narasimhan C, Joseph G, Singh TC: Propranolol for pulmonary oedema in mitral stenosis. Int J Cardiol 1994, 44:178-179. Administration of a β-adrenergic blocking drug can be life saving when a patient with mitral stenosis and sinus tachycardia develops pulmonary edema. This article is a timely reminder.
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Narasimhan, C.1
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Caution in use of β blockers during pregnancy
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Cheng TO: Caution in use of β blockers during pregnancy [letter]. Cathet Cardiovasc Diagn 1995; 34:186. There is still (misplaced) reluctance to use β-blockers during pregnancy.
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Cheng, T.O.1
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Percutaneous mitral commissurotomy for severe mitral stenosis during pregnancy
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Kalra GS, Arora R, Khan JA, Nigram M, Khalillulah M: Percutaneous mitral commissurotomy for severe mitral stenosis during pregnancy. Cathet Cardiovasc Diagn 1994, 33:28-30. Successful balloon valvuloplasty during pregnancy.
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6
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0029004949
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Percutaneous balloon dilatation of the mitral valve in critically III young patients with intractable heart failure
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Patel JJ, Muclinger MJ, Mitha AS, Patel N: Percutaneous balloon dilatation of the mitral valve in critically III young patients with intractable heart failure. Br Heart J 1995, 73:555-558. Most pregnant patients with mitral stenosis have valves that are suitable for balloon valvuloplasty.
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Patel, J.J.1
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9
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Role of balloon dilatation of the aortic valve in pregnant patients with severe aortic stenosis
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Bannin AP, Pearson JF, Hall RJC: Role of balloon dilatation of the aortic valve in pregnant patients with severe aortic stenosis. Br Heart J 1993, 70:544-545. Balloon dilatation of a stenosed bicuspid aortic valve may tide a patient through the remainder of her pregnancy.
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Bannin, A.P.1
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Oakley CM: Cardiovascular disease in pregnancy. Can J Cardiol 1990, 6:33B-44B.
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Campos O, Andrade JL, Bocanegra J, Ambrose JA, Carvalho AC, Harada K, Martinez EE: Physiological multi-valvular regurgitation during pregnancy: a longitudinal Doppler echocardiographic study. Int J Cardiol 1993, 40:265-272.
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Rosenblum NG, Grossman AR, Mennuti MT, et al.: Failure of serial echocardiographic studies to predict aortic dissection in pregnant patient with Marfan's syndrome. Am J Obstet Gynecol 1983, 146:470.
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23 Quantitative differences in biosynthesis and extracellular deposition of fibrillin in cultured fibroblasts distinguish five groups of Marfan syndrome patients and suggest distinct pathogenetic mechanisms
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Aoyama T, Francke U, Dietz HC, Furthmayr H: 23 Quantitative differences in biosynthesis and extracellular deposition of fibrillin in cultured fibroblasts distinguish five groups of Marfan syndrome patients and suggest distinct pathogenetic mechanisms. J Clin Invest 1994, 108:893-898. Genetic and phenotypic heterogeneity in the Marfan syndrome may soon be unravelled and allow much more accurate prediction of risk.
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Aoyama, T.1
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Sbarouni E, Oakley CM: Outcome of pregnancy in women with valve prostheses. Br Heart J 1994, 71:196-201. Analysis of a retrospective questionnaire showed more maternal complications in patients transferred to heparin and accelerated deterioration of bioprostheses during pregnancy.
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Sbarouni, E.1
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Badduke ER, Jamieson RE, Miyashima RT, Munro AL, Gerein AN, MacNab J, Tyers GFO: Pregnancy and childbearing in a population with biologic valvular prostheses. J Thorac Cardiovasc Surg 1991, 102:179-186.
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Badduke, E.R.1
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Munro, A.L.4
Gerein, A.N.5
MacNab, J.6
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19
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0028019537
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Pregnancy and prosthetic heart valves
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Ginsberg JS, Barron WM: Pregnancy and prosthetic heart valves. Lancet 1994, 344:1170-1172. The case for heparin during the first trimester of pregnancy.
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Lancet
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Oakley CM: Anticoagulants in Pregnancy. Br Heart J 1995, 74:107-111. A review of heparin and coumarin anticoagulant usage.
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Br Heart J
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Clinical perspective: Anticoagulation and pregnancy
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Oakley CM: Clinical perspective: Anticoagulation and pregnancy. Eur Heart J 1995, 16:1317-1319. A review of heparin and coumarin anticoagulant usage.
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0028329975
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Pregnancy in patients with valvular prostheses: Retrospective cooperative study in France (155 cases)
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Hanania G, Thomas D, Michel PL, Garbarz E, Age C, Acar J: Pregnancy in patients with valvular prostheses: retrospective cooperative study in France (155 cases). J Arch Coeur Vaiss 1994, 87:429-437.
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23
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Pregnancy and prosthetic heart valves: A French cooperative retrospective study of 155 cases
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Hanania G, Thomas D, Michel PL, Garbarz E, Age C, Millaire A, Acar J: Pregnancy and prosthetic heart valves: a French cooperative retrospective study of 155 cases. Eur Heart J 1994, 15:1651-1658. Thromboembolic complications were more than four times as common in women treated with heparins compared with those treated with warfarin on an intention to treat basis.
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Eur Heart J
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Hanania, G.1
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24
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Cotrufo M, de Luca TSL, Calabro R, Mastrogiovanni G, Lama D: Coumarin anticoagulation during pregnancy in patients with mechanical valve prostheses. Eur J Cardiothorac Surg 1991, 5:300-305.
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Pregnancy and prosthetic heart valves
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Oakley CM: Pregnancy and prosthetic heart valves. Lancet 1994, 344:1643-1644.
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Lancet
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0028816983
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Thrombolytic therapy with recombinant tissue type plasminogen activator (rt-PA) for thrombosis of a tricuspid valve prosthesis during pregnancy
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Azzan O, French P, Robin J, Quinson P, Delabourdonnaye T, Champsaur G, Mellier G, Normad J, Bozio A: Thrombolytic therapy with recombinant tissue type plasminogen activator (rt-PA) for thrombosis of a tricuspid valve prosthesis during pregnancy. Arch Mal Coeur Vaiss 1995, 88:2:267-270. Thrombolytic therapy is the treatment of choice for thrombosed tricuspid valves.
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Arch Mal Coeur Vaiss
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Vitale N, Deluca L, Renzulli A, Cotrufo M: Thrombolysis for prosthetic valve thrombosis. Ann Thorac Surg 1995, 59:1045. Although carrying a risk of releasing systemic emboli, thrombolytic treatment may still be less risky than emergency surgery when left-sided valves have thrombosed.
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Ann Thorac Surg
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Vitale, N.1
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Oakley CM: Pregnancy and valvular heart disease. In Valvular Heart Disease. Edited by Al Zaiba M, Doran CMG. New York: Dekker; 1994:479-502.
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