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Risk Assessment and Management of the Mother with Cardiovascular Disease

Camden Hebson1, Anita Saraf2, Wendy M Book3

  • 1Department of Medicine, The Sibley Heart Center, Emory University School of Medicine, 1365 Clifton Road Northeast, Clinic A, 2nd Floor, Cardiology, Atlanta, GA 30322, USA; Department of Pediatrics, The Sibley Heart Center, Emory University School of Medicine, 1365 Clifton Road Northeast, Clinic A, 2nd Floor, Cardiology, Atlanta, GA 30322, USA.

Clinics in Perinatology
|February 16, 2016
PubMed

Insights

Chronic medical conditions are a leading cause of pregnancy complications. Understanding cardiovascular changes during pregnancy and using risk scores can improve preconception counseling for women with heart disease.

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Reproductive Health

Background:

  • Chronic medical conditions represent the primary driver of nonobstetrical pregnancy-related maternal complications.
  • Cardiovascular disease (CVD) poses significant risks during pregnancy, necessitating specialized management strategies.

Purpose of the Study:

  • To highlight the importance of cardiovascular physiology in pregnancy for preconception counseling.
  • To emphasize the utility of risk scores in guiding the management of pregnant women with cardiovascular disease.

Main Methods:

  • Review of current literature on cardiovascular adaptations during pregnancy.
  • Analysis of established risk stratification tools for cardiovascular disease in pregnancy.

Main Results:

  • Pregnancy induces substantial physiological changes in the cardiovascular system.
  • Risk scores effectively identify high-risk pregnancies in women with pre-existing cardiovascular conditions.

Conclusions:

  • Informed preconception counseling for women with cardiovascular disease requires a thorough understanding of pregnancy-related cardiovascular changes.
  • Risk-based management is crucial for optimizing outcomes in pregnant patients with cardiovascular disease.

Keywords:
Congenital heart diseaseMaternal healthPreconception counselingPregnancy

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