ACHD

Question 1

Which antihypertensive is safe in pregnancy

Answer 1

Methyldopa
– ACE and ARBs can cause fetal renal malformations
– Amlodipine has minimal data

Question 1

Warfarin management in pregnancy

Answer 1

• Okay to keep warfarin in 1st trimester if daily dose is < 5 mg
• If transitioning to lovenox then goal is 0.8-1.2

Question 2

In what conditions is pregnancy contraindicated

Answer 2

• Marfans with aorta > 45 mm
• BAV with ascending aorta > 50
• Severe MS
• Symptomatic severe AS
• Native severe coarc
• Severe systemic ventricular dysfunction
• Severe PH/Eisenmenger