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Erschienen in: Current Cardiology Reports 9/2023

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.
Literatur
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Zurück zum Zitat • Hameed AB, Tarsa M, Graves CR, et al. Cardiovascular risk assessment as a quality measure in the pregnancy and postpartum period. JACC Adv. 2023;2(1):100176. https://doi.org/10.1016/j.jacadv.2022.100176. Screening tool to identify pregnant and post partum individuals that may be at higher risk for cardiovascular disease. Important contribution as helps to identify those individuals without known cardiovascular disease who may warrant further cardiac evaluation. • Hameed AB, Tarsa M, Graves CR, et al. Cardiovascular risk assessment as a quality measure in the pregnancy and postpartum period. JACC Adv. 2023;2(1):100176. https://​doi.​org/​10.​1016/​j.​jacadv.​2022.​100176. Screening tool to identify pregnant and post partum individuals that may be at higher risk for cardiovascular disease. Important contribution as helps to identify those individuals without known cardiovascular disease who may warrant further cardiac evaluation.
33.
Zurück zum Zitat • Lindley KJ, Bairey Merz CN, Asgar AW, et al. Management of women with congenital or inherited cardiovascular disease from pre-conception through pregnancy and postpartum: JACC Focus Seminar 2/5. J Am Coll Cardiol. 2021;77(14):1778–98. https://doi.org/10.1016/j.jacc.2021.02.026. Multifaceted review on the management of pregnant individuals with cardiovascular disease. Notable for the comprehensive overview of the field.CrossRefPubMedPubMedCentral • Lindley KJ, Bairey Merz CN, Asgar AW, et al. Management of women with congenital or inherited cardiovascular disease from pre-conception through pregnancy and postpartum: JACC Focus Seminar 2/5. J Am Coll Cardiol. 2021;77(14):1778–98. https://​doi.​org/​10.​1016/​j.​jacc.​2021.​02.​026. Multifaceted review on the management of pregnant individuals with cardiovascular disease. Notable for the comprehensive overview of the field.CrossRefPubMedPubMedCentral
Metadaten
Titel
Cardio-Obstetrics: A Focused Review
verfasst von
Amrit Misra
Maria Pabon Porras
Aardra Rajendran
Johanna Contreras
Nandita S. Scott
Publikationsdatum
04.08.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 9/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-01928-0

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