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Cardiac disease in pregnancy.

Manisha Gandhi1, Stephanie R Martin2

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Baylor College of Medicine, Texas Children's Pavilion for Women, 6651 Main Street Suite F1096, Houston, TX 77030, USA.

Obstetrics and Gynecology Clinics of North America
|May 24, 2015
PubMed
Summary

Pregnancy increases cardiac demands, making preconception counseling vital for better outcomes. Pulmonary edema and dysrhythmias are common cardiac events requiring multidisciplinary care for pregnant individuals with heart conditions.

Keywords:
Cardiac diseaseCongenital heart diseasePregnancyValvular disease

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Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Physiologic adaptations during pregnancy significantly increase cardiac workload.
  • Pre-existing or pregnancy-induced cardiac conditions pose risks to both mother and fetus.
  • Congenital cardiac disease in pregnancy requires specialized management.

Purpose of the Study:

  • To highlight the importance of preconception counseling for optimizing pregnancy outcomes in women with cardiac conditions.
  • To identify common cardiac complications during pregnancy.
  • To advocate for a multidisciplinary approach in managing pregnant patients with cardiac disease.

Main Methods:

  • Review of physiological changes in pregnancy affecting cardiac function.
  • Analysis of common cardiac events encountered during the antepartum period.
  • Emphasis on collaborative care models involving various medical specialties.

Main Results:

  • Physiological changes during pregnancy place substantial demands on cardiac function.
  • Pulmonary edema and dysrhythmias represent the most frequent cardiac events.
  • A coordinated team approach is essential for optimal antepartum care.

Conclusions:

  • Preconception counseling is a critical intervention for improving pregnancy outcomes in women with cardiac conditions.
  • Early identification and management of cardiac risks are paramount.
  • Multidisciplinary collaboration, including maternal-fetal medicine, cardiology, and anesthesia, is recommended, especially for patients with congenital cardiac disease.