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Cardiovascular Disease in Pregnancy
Susan Mcilvaine1,2, Loryn Feinberg2, Melissa Spiel3,4
1Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Neoreviews
|November 2, 2021
Summary
Pregnancy poses risks for cardiovascular disease (CVD) patients. Multidisciplinary cardio-obstetric teams are crucial for managing maternal CVD risks throughout pregnancy and postpartum.
Area of Science:
- Cardiology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Cardiovascular disease (CVD) is a leading cause of maternal morbidity and mortality.
- Physiological changes during pregnancy can worsen existing cardiac conditions or cause new ones.
- Preexisting conditions include congenital malformations, valvular disease, coronary artery disease, and aortopathies.
Purpose of the Study:
- To highlight the importance of specialized care for pregnant women with cardiovascular disease.
- To emphasize the need for multidisciplinary management strategies.
- To address disparities in care and improve outcomes.
Main Methods:
- Multidisciplinary evaluation and counseling before conception.
- Close monitoring and medication management during pregnancy, delivery, and postpartum.
- Establishment of cardio-obstetric teams.
Main Results:
- Multidisciplinary teams improve evidence-based and equitable care for high-risk patients.
- Comprehensive management across preconception, antepartum, delivery, and postpartum phases is vital.
- Addressing disparities in care is essential for reducing maternal morbidity and mortality.
Conclusions:
- Cardiovascular complications during pregnancy require specialized, multidisciplinary management.
- Cardio-obstetric teams are instrumental in providing optimal care for pregnant individuals with CVD.
- Continuous monitoring and management are necessary for long-term maternal health.
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