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Maternal Heart Failure
Rachel A Bright1, Fabio V Lima2, Cecilia Avila3
1Division of Cardiovascular Medicine Department of Medicine State University of New YorkStony Brook University Medical CenterRenaissance School of Medicine Stony Brook NY.
Journal of the American Heart Association
|July 14, 2021
Summary
Heart failure in pregnancy poses significant risks to both mothers and neonates, increasing mortality and morbidity. Understanding risk factors and improving care through multidisciplinary teams is crucial for better outcomes.
Area of Science:
- Cardiology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Heart failure (HF) is a major cardiovascular complication during pregnancy and postpartum.
- HF increases risks for maternal death, adverse cardiac/obstetric outcomes, and neonatal morbidity/mortality.
- Identifying HF causal factors aids in predicting risk, onset, and prognosis.
Purpose of the Study:
- To review risk factors, prognosis, and care improvements for heart failure in pregnancy.
- To highlight the importance of multidisciplinary cardio-obstetric teams.
- To identify areas for enhanced maternal and fetal care.
Main Methods:
- Literature review and synthesis of current data on heart failure in pregnancy.
- Analysis of risk factors, comorbidities, and prognostic indicators.
- Discussion of care delivery models and areas for improvement.
Main Results:
- Pregnancy-associated heart failure presents significant risks to both mother and neonate.
- Various modifiable, nonmodifiable, and obstetric factors contribute to HF development and prognosis.
- Multidisciplinary teams and improved access to care can enhance outcomes.
Conclusions:
- Early detection, risk factor management, and multidisciplinary care are essential for managing heart failure in pregnancy.
- Further research and data collection are needed to improve maternal and fetal outcomes.
- Addressing care barriers, including insurance and postpartum follow-up, is critical.
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