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The majority of patients died within the first month after delivery and major causes of death were heart failure, sudden cardiac death and pulmonary embolism 4,5,8 Complications of PH during pregnancy: The normal physiologic changes of pregnancy (increased plasma volume, increased stroke volume, increased cardiac output, decreased systemic vascular resistance), are poorly tolerated in PH due to an inability to decrease pulmonary vascular resistance and accommodate the increased pulmonary flow

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