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Cardiomyopathy and pregnancy
1Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden.
Heart (British Cardiac Society)
|July 17, 2019
Summary
Peripartum cardiomyopathy is the most common heart muscle disorder during pregnancy. Management requires multidisciplinary teams for optimal outcomes in pregnant patients with cardiomyopathy.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
Background:
- Cardiomyopathy encompasses diverse heart muscle disorders.
- Common types include hypertrophic and dilated cardiomyopathy; rarer forms exist.
- Pregnancy presents unique challenges for women with cardiomyopathy.
Purpose of the Study:
- To review the impact and management of various cardiomyopathies during pregnancy.
- To highlight peripartum cardiomyopathy as the most frequent type in pregnancy.
- To assess risks and outcomes for different cardiomyopathies in pregnant individuals.
Main Methods:
- Literature review of studies on cardiomyopathy in pregnancy.
- Analysis of peripartum, dilated, hypertrophic, and arrhythmogenic right ventricular cardiomyopathies.
- Inclusion of data on rare cardiomyopathy presentations.
Main Results:
- Peripartum cardiomyopathy is most common, often developing around delivery.
- Dilated cardiomyopathy may present earlier in pregnancy.
- Outcomes vary, with high-risk patients facing significant complications, while some tolerate pregnancy well.
- Hypertrophic and arrhythmogenic right ventricular cardiomyopathies carry risks of arrhythmias and heart failure.
Conclusions:
- Peripartum cardiomyopathy requires careful monitoring.
- Management of cardiomyopathy in pregnancy necessitates specialized, multidisciplinary care.
- Pre-conception counseling and ongoing surveillance are crucial for high-risk pregnancies.
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