Question:medium
Which of the following is NOT a contraindication for pregnancy?
Which of the following is NOT a contraindication for pregnancy?
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Three options threaten catastrophic haemodynamic collapse; one is a manageable arrhythmia.
Updated On: Jun 24, 2026
- Wolff-Parkinson-White (WPW) syndrome
- Pulmonary hypertension
- Eisenmenger syndrome
- Marfan syndrome with aortic root dilatation
Show Solution
The Correct Option is A
Solution and Explanation
Pregnancy adds about a 40 to 50 percent rise in blood volume and cardiac output, so the dangerous heart conditions are those that cannot tolerate this extra load, especially anything involving the pulmonary circulation or a fragile aorta. Pulmonary hypertension is lethal here because the stiff, high-resistance lung vessels cannot pass the extra output, leading to right heart failure. Eisenmenger syndrome combines pulmonary hypertension with a shunt that reverses to right-to-left under stress, giving among the highest maternal death rates in obstetrics. Marfan syndrome with an already dilated aortic root is a ticking aorta, and the hyperdynamic, hormone-softened vessel wall of pregnancy can dissect or rupture, so it is firmly contraindicated. WPW syndrome is a different kind of problem altogether, an accessory conduction pathway that may trigger fast rhythms but does not threaten the mother with the catastrophic haemodynamic collapse the other three do, and it is treatable. Because it lacks that prohibitive risk, WPW is the one that is not a contraindication.
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