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Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart

Laxmi S Mehta, Carole A Warnes, Elisa Bradley

    Circulation
    |May 5, 2020
    PubMed

    Insights

    Cardio-obstetrics teams are crucial for managing heart conditions in pregnancy, reducing maternal mortality. Early preconception counseling and team involvement are vital for better outcomes during and after pregnancy.

    Area of Science:

    • Cardiology
    • Obstetrics
    • Maternal-Fetal Medicine

    Background:

    • Cardiovascular disease is the leading cause of pregnancy-related mortality in the US.
    • Increasing maternal age and comorbidities contribute to rising mortality rates.
    • Cardio-obstetrics is an emerging multidisciplinary field for managing cardiac conditions during pregnancy.

    Purpose of the Study:

    • To provide an overview of diagnosing and managing cardiovascular disease in pregnancy.
    • To emphasize the importance of a multidisciplinary team approach.

    Main Methods:

    • This scientific statement synthesizes current knowledge on cardiovascular disease in pregnancy.
    • It reviews common cardiac conditions and their management strategies.

    Main Results:

    • Cardiovascular conditions during pregnancy include hypertensive disorders, cardiomyopathies, arrhythmias, and more.
    • Preconception counseling and early team involvement are essential for preventing maternal morbidity and mortality.
    • Effective management requires a comprehensive understanding by clinicians.

    Conclusions:

    • Cardio-obstetrics requires a team approach for optimal management of pregnant patients with cardiac conditions.
    • Early intervention and preconception counseling are critical for improving maternal and fetal outcomes.
    • This field is essential for reducing cardiovascular-related deaths in pregnancy.

    Keywords:
    AHA Scientific Statementscardiovascular diseasematernal mortalityobstetricspregnancy

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