John P Erwin III MD FACC Profile picture
#Husband #Father #BigPoppy #MayoClinic trained #Cardiologist. ✭ Highly Educated- seeking #Wisdom ✭ “A Cheerful #Heart is Good #Medicine “#Proverbs17:22 ✭🫀🏈

Aug 19, 2018, 12 tweets

#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12

#PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
2/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

Cardiac Output changes in Pregnancy

3/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

Remember: #DiastolicFunction improvements greatly outweigh any change in systolic function despite the increased LV mass

4/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

Hemodynamic Changes of Labor and Delivery

7/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

WHO Classifiction of Pregnancy Risks

9/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

#ZAHARA Risk Predictors

DON'T minimalise the risk of #Pregnancy in setting of #ProstheticValves - practice long enough and you will see nightmares in this population.

10/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

Who should strictly AVOID #pregnancy ?

11/12

#FellowsFirst #ACCFIT

#PregnancyCardiology

Which drugs should be absolutely stopped during pregnancy?

12/12

#FellowsFirst #ACCFIT

Here endeth the epistle!

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