I.R. GAYSIN¹, R.M. VALEEVA^1,2, L.V. SHILINA^2,1, YU.V. CHERNYKH^1,2, A.S. ISKHAKOVA^2,1, ZH.V. VAVILKINA²

¹Izhevsk State Medical Academy, 281 Kommunarov St., Izhevsk, Russian Federation, 426034

²Republican Diagnostic and Treatment Center, 87b Lenin St., Izhevsk, Russian Federation, 426009

Gaysin I.R. — D. Med. Sc., Associate Professor of the Department of Hospital Therapy, tel. (3412) 68-04-56, e-mail: [email protected]

Valeeva R.M. — Cand. Med. Sc., Associate Professor of the Department of Hospital Therapy, tel. (3412) 68-21-15, e-mail: [email protected]

Shilina L.V. — Cand. Med. Sc., Head of the Women’s Cardiology Department, Acting Assistant of the Department of Hospital Therapy, tel. (3412) 68-20-96, e-mail: [email protected]

Chernykh Yu.V. — Cand. Med. Sc., Assistant Professor of the Deparment of Hospital Therapy, cardiologist of the Women’s Cardiology Department, tel. (3412) 68-20-96, e-mail: [email protected]

Iskhakova A.S. — cardiologist of the Department of Arterial Hypertension of Special Outpatient Clinic, external post-graduate student of the Department of Hospital Therapy, tel. (3412) 68-29-48, e-mail: [email protected]

Vavilkina Zh.V. — cardiologist of the Women’s Cardiology Department, tel. (3412) 68-20-96, e-mail: [email protected]

In the Udmurt Republic (the UR) there was established a system to assist pregnant women, including specialized maternity welfare center, inpatient unit, sanatorium and maternity hospital at the regional cardiology center, which provide outpatient, hospital and rehabilitation stages of treatment. There were presented the results of treatment of 32105 pregnant women with cardiovascular disease (CVD): hypertension, organic heart disease, aortic pathology, inflammatory autoimmune rheumatic diseases. Perinatal mortality taking into account the low weight of infants in the cardiology clinic of the UR decreased 2.4 times — from 11.2% in 2000 to 4.6% in 2014. During the 15 years of observation there were no maternal deaths.

Key words: cardiovascular diseases, pregnancy, administration.

REFEREENCES

1. Oakley C., Child A., Iung B. et al. Task force on the management of cardiovascular diseases during pregnancy of the European Society of Cardiology. Expert consensus document on management of cardiovascular diseases during pregnancy. Eur Heart J., 2003, vol. 24, pp. 761-781.
2. Regitz-Zagrosek V., Lundqvist C.B., Borghi C. et al. Task force on the management of cardiovascular diseases during pregnancy of the European Society of Cardiology (ESC). ESC Guidelines on the management of cardiovascular diseases during pregnancy. Eur Heart J, doi:10.1093/eurheartj/ehr218. 51 p.
3. Stryuk R.I., Bakalov S.A., Bunin Yu.A. et al. Diagnostika i lechenie serdechno-sosudistykh zabolevaniy pri beremennosti. Rossiyskie rekomendatsii [Diagnosis and treatment of cardiovascular disease during pregnancy. Russian recommendations]. Moscow, 2009. 40 p.
4. Ruys P.T.E. Adult congenital heart disease with focus on pregnanc. Erasmus Universiteit Rotterdam, 2013. 282 r.
5. Gaysin I.R. Arterial’naya gipertenziya u beremennykh: kardiorenal’nyy kontinuum i otsenka effektivnosti terapii: avtoref. dis. … d-ra med. nauk [Hypertension in pregnancy: cardiorenal continuum and evaluation of the effectiveness of therapy. Synopsis of dis. Dr med. sci]. Perm, 2009. 51 p.
6. Tkacheva O.N., Shifman E.M., Lyashko E.S. et al. Klinicheskie rekomendatsii. Diagnostika i lechenie arterial’noy gipertenzii u beremennykh [Clinical guidelines. Diagnosis and treatment of hypertension in pregnant women]. Moscow, 2010. 84 p.
7. Radzinskiy V.E. Akusherskaya agressiya [Obstetric aggression]. Moscow: Izd-vo zhurnala StatusPraesens, 2011. 688 s.
8. Ratsional’naya farmakoterapiya v akusherstve i ginekologii, pod red. V.I. Kulakova, V.N. Serova [Rational pharmacotherapy in obstetrics and gynecology. Ed. by V.I. Kulakov, V.N. Serov]. Moscow: GEOTAR-Media, 2008. 1152 p.
9. Medved’ V.I. Vvedenie v kliniku ekstragenital’noy patologii beremennykh. 2-e izd., ispravl. [Introduction to the clinic extragenital pregnant. 2nd ed., corrected]. Kiev: Gidromaks, 2007. 168 p.
10. Gaysin I.R., Valeeva R.M., Shilina L.V. et al. The structure of cardiovascular disease in pregnant women and the effectiveness of the regional specialized care. Kardiologiya, 2013, vol. 53, no. 2, pp. 68-74 (in Russ.).
11. Prenatal’naya ekhografiya, pod red. M.V. Medvedeva. 1-e izd. [Prenatal sonography. Ed. M.V. Medvedev. 1st ed.]. Moscow: Real’noe Vremya, 2005. 560 p.
12. Valeeva R.M., Gaysin I.R., Shilina L.V. et al. Angiosarcoma of the heart of a pregnant woman. Kardiologiya, 2012, vol. 52, no. 6, pp. 93-95 (in Russ.).
13. Nechaeva G.I., Viktorova I.A. Marfan syndrome in the practice of cardiology, diagnostics, treatment, the possibility of pregnancy and childbirth. Kardiologiya, 2005, no. 12, pp. 79-86 (in Russ.).
14. Shekhtman M.M. Rukovodstvo po ekstragenital’noy patologii u beremennykh [Guide extragenital pathology in pregnant women]. Moscow: Triada-Kh, 2008. 816 p.
15. CEMACH. CEMACH saving mothers’ lives: reviewing maternal deaths to make motherhood safer – 2003-2005: The seventh report on confidential enquiries into maternal deaths in the United Kingdom. London: Centre for maternal and child enquiries, 2008.