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Old 03-04-2013
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Heart Tolerable cardiac pathology in pregnancy

A 30 year old woman is evaluated in your office during a routine antenatal visit. Her previous pregnancy 2 years was uneventful. She is now presenting at 12 week gestation. The patient has been compliant with antenatal vitamin supplements. She reports mild early morning nausea and vomiting. On physical examination, her vitals are with in normal limits. Cardiovascular examination reveal exaggerated heart sounds ( S1 and S2) and a new systolic ejection murmur across the lower left sternal border. An S3 gallop is present. A grade 1 diastolic murmur is heard at the left ventricular apex that increases in the left lateral decubitus position. Which of the following cardiovascular abnormalities would be best tolerated during an otherwise normal pregnancy?

A) Mitral Stenosis with pulmonary hypertension
B) Marfan syndrome with aortic valve involvement
C) Peri-partum cardiomyopathy in prior pregnancy
D) Atrial Septal Defect, Secundum type
E) Bicuspid aortic valve with mean gradient 55mmHg.
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Old 03-04-2013
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i think its aortic regurgitation , as regurgitant lesions tolerated better in overload ... uncomplicated ASD virtually having no effect on pregnancy ...
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Old 03-05-2013
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Originally Posted by dr mumble View Post
i think its aortic regurgitation , as regurgitant lesions tolerated better in overload ... uncomplicated ASD virtually having no effect on pregnancy ...
So whats your response?
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Old 03-05-2013
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Default D) Atrial Septal Defect, Secundum type

D) Atrial Septal Defect, Secundum type
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Old 03-05-2013
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D) Atrial Septal Defect, Secundum type
As its the case where there is overload
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Old 03-05-2013
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D) Atrial Septal Defect, Secundum type
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