Aortic Stenosis in Pregnancy. Brendan Astley MD & Norman Bolden MD. Nov 2006. PMH- “Heart condition” since age 12 (no further follow-up) SOB and CP at rest and exertion worse over last two years PSH- none Medications- PNV Allergies- NKDA FH- unknown SH- no tobacco, EtOH or drug use.
Brendan Astley MD
Norman Bolden MD
WBC 8.71, Hg 12.5, Hct 36.8, Plts 256
Na 136, K 3.9, Cl 108, CO2 21, BUN 5, Cr 0.5, Glu 71
TSH 0.9, RPR, NR, HIV, VZ immune, RI, GC/ chlam, hep B all negative
Plan: Admit to antepartum unit (social admission) to facilitate consultations by Maternal/Fetal Medicine, Cardiology, NICU and Anesthesiology.
Left ventricular hypertrophy (LVH)
40-50%, SV 30%, HR 15-20%
ERV 20%, FRC 20%
Mean pressure gradient1/2
This is the simplified version of the Gorlin equation (Hakki equation)