Erschienen in:
04.08.2023 | Women and Cardiovascular Health (N Goldberg and S Lewis, Section Editors)
Cardio-Obstetrics: A Focused Review
verfasst von:
Amrit Misra, Maria Pabon Porras, Aardra Rajendran, Johanna Contreras, Nandita S. Scott
Erschienen in:
Current Cardiology Reports
|
Ausgabe 9/2023
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Abstract
Purpose of Review
Cardiovascular disease is the leading cause of maternal mortality in the USA. All cardiovascular care providers should have a foundational knowledge on the management of pregnant individuals with heart disease. This focused review touches on several key cardio-obstetric themes.
Recent Findings
Many individuals with cardiovascular disease can safely undergo pregnancy, but should have counseling preconception to optimize cardiac status. There are several cardiovascular conditions that are high risk for maternal mortality and morbidity. These individuals should be adequately counseled preconception and offered reliable birth control.
Summary
The approach to a high-risk pregnant patient with cardiac disease is best managed by a multidisciplinary team to address potential maternal and fetal complications. Identification of at risk individuals can be estimated preconception with several risk scores. The development of risk scores to stratify and identify those at elevated risk during pregnancy is an area of continued research and development.