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Cardiac disease in pregnancy
Surabhi Nanda1, Catherine Nelson-Piercy, Lucy Mackillop
1Women's Health, Guy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
Cardiac disease is a major cause of maternal death in the UK. This review covers common heart conditions in pregnancy, emphasizing multidisciplinary care for better maternal and fetal outcomes.
Area of Science:
- Cardiology
- Obstetrics
- Maternal Health
Background:
- Cardiac disease is the primary cause of maternal mortality in the UK.
- Key contributors include cardiomyopathy, myocardial infarction, ischemic heart disease, and aortic dissection.
- Rheumatic heart disease is re-emerging due to increased migrant populations.
Purpose of the Study:
- To review common cardiac conditions during pregnancy.
- To outline antenatal and intrapartum management strategies.
- To highlight the importance of a multidisciplinary approach.
Main Methods:
- Literature review of cardiac conditions in pregnancy.
- Discussion of management protocols for various cardiac diseases.
- Emphasis on collaborative care between obstetricians, cardiologists, and anesthesiologists.
Main Results:
- Pregnancy poses significant physiological challenges for women with heart disease.
- Uncorrected congenital heart disease and prosthetic valves complicate pregnancies.
- Multidisciplinary care is essential for managing maternal and fetal well-being.
Conclusions:
- Effective management requires a coordinated team approach.
- Planning for delivery, whether elective or emergency, is crucial.
- This review provides guidance on managing pregnant women with cardiac conditions.
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