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Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However, frequent irregular...
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Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound (30/45MHZ) System
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Published on: May 5, 2018

Cardiovascular diseases in pregnancy.

Vera Regitz-Zagrosek1, Ute Seeland, Annette Geibel-Zehender

  • 1Institut für Geschlechterforschung in der Medizin, Universitätsmedizin Berlin Charité und Deutsches Herzzentrum Berlin, Germany. Vera.Regitz-Zagrosek@charite.de

Deutsches Arzteblatt International
|May 24, 2011
PubMed
Summary

Cardiovascular diseases affect pregnant women, with rising hypertension and valvular heart disease incidence. Early interdisciplinary counseling and treatment are crucial for managing these conditions during pregnancy.

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Published on: January 26, 2024

Area of Science:

  • Cardiology
  • Obstetrics
  • Public Health

Background:

  • Cardiovascular diseases affect 0.2% to 4% of pregnancies globally.
  • In Germany, approximately 30,000 pregnant women annually face these potentially lethal complications.

Purpose of the Study:

  • To review current literature and guidelines on managing cardiovascular diseases during pregnancy.
  • To highlight the increasing incidence of hypertension and valvular heart disease in pregnant individuals.

Main Methods:

  • Literature search of NCBI databases (2008-2010) using terms: pregnancy, valvular disease, endocarditis, coronary heart disease, cardiomyopathy, hypertension, anticoagulation.
  • Consideration of international medical society guidelines and Embryotox database.

Main Results:

  • Rising incidence of pregnancy-related hypertension and valvular heart disease.
  • Severe valvular stenosis requires pre-pregnancy treatment (valvuloplasty/surgery).
  • Mechanical heart valve anticoagulation requires individualized assessment; coumarin risks are dose-dependent.

Conclusions:

  • Women of childbearing age with cardiovascular disease risk require early counseling.
  • An interdisciplinary team (gynecologists, cardiologists, cardiac surgeons) is essential for optimal care.