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Heart Disease and Pregnancy
Tuesday, January 23, 2018 - 12 Noon (Eastern Time)

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Jeff Chapa, MD

  • Head of the Section of Maternal-Fetal Medicine

David Majdalany, MD

  • Co-Director of the Adult Congenital Heart Disease Center

Pregnancy can be an exciting time in one’s life. However, it can also be a time for uncertainty for those who have a heart condition and want to become pregnant, have a heart condition and have an unplanned pregnancy, or who are pregnant and begin to have symptoms of heart disease. The Cardio-Obstetrics Clinic at Cleveland Clinic brings together specialists from cardiovascular medicine, obstetrics/gynecology, cardiovascular surgery genetics, specialized imaging and nutrition. Please join us for our Cardio-Obstetrics Web Chat and have your questions answered by Head of the Section of Maternal-Fetal Medicine in Cleveland Clinic Children’s Hospital Department of Obstetrics and Gynecology, Jeff Chapa, MD, and co-Director of the Adult Congenital Heart Disease Center, David Majdalany, MD.

During pregnancy, changes occur to the heart and blood vessels. These changes put extra stress on a woman’s body and require the heart to work harder. The following changes are normal during pregnancy. They help ensure that your baby will get enough oxygen and nutrients. Changes include an increase in blood volume during the first trimester, an increase in cardiac output during pregnancy, an increase in heart rate, and a decrease in blood pressure.

These changes cause fatigue (feeling overtired), shortness of breath and light-headedness. All of these symptoms are normal, but talk to your healthcare provider if you are concerned or have any questions. If you have a heart condition you may need to take special precautions before and during pregnancy. Some heart conditions can increase a woman’s risk of complications. In addition, some women have heart or blood vessel conditions that are not identified until pregnancy. The mother’s health and well being are critical because if something bad happens to her, the baby is unlikely to survive.

Jeff Chapa, MD, is Head of the Section of Maternal-Fetal Medicine in Cleveland Clinic Children’s Hospital Department of Obstetrics and Gynecology. He sees patients at Hillcrest Hospital.

His specialty interests include preconceptional counseling, comprehensive management of high-risk pregnancy, obstetrical ultrasound and prenatal diagnosis, and prenatal genetic counseling.

David S. Majdalany, MD, is co-Director of the Adult Congenital Heart Disease Center, a staff cardiologist in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute and a member of the Cardio-Obstetrics Clinic. He is board-certified in internal medicine, general cardiology, nuclear cardiology, and echocardiography.

Dr. Majdalany is a graduate of the Marshall University School of Medicine, in Huntington, W.Va. He completed a combined residency in internal medicine and pediatrics at Mount Sinai Medical Center in New York City followed by a fellowship in adult cardiology at the University of Louisville School of Medicine in Louisville, Ky. He subsequently completed a fellowship in advanced echocardiography at Columbia University Medical Center before relocating to Rochester, Minn. for fellowships in adult congenital heart disease and critical care medicine at Mayo Clinic. He joined Cleveland Clinic in 2010 upon completion of this subspecialty training.

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