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Managing cardiovascular disease in pregnant people: Defining the pregnancy heart team
Liliane Ernst1, Marie-Louise Meng1, Johanna Quist-Nelson2
1Department of Anesthesiology, Duke University Medical Center, DUMC, 3094, Durham, NC, 27710, USA.
Insights
Pregnancy heart teams improve care for pregnant individuals with cardiovascular disease by ensuring timely recognition of warning signs and better management. Multidisciplinary collaboration is key to preventing cardiac morbidity and mortality.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Cardiovascular Disease in Pregnancy
Background:
- Cardiovascular disease is a major cause of death and illness in pregnant patients.
- Many complications are preventable with early detection and proper management.
- Multidisciplinary care is essential for improving outcomes.
Purpose of the Study:
- To review the practical aspects of pregnancy heart team management for cardiovascular disease in pregnant individuals.
- To highlight the importance of multidisciplinary collaboration in optimizing patient care.
Main Methods:
- Discussion of the establishment and composition of pregnancy heart teams.
- Review of the practical approach to managing pregnant patients with cardiovascular disease.
- Emphasis on the roles of core and additional specialists.
Main Results:
- Pregnancy heart teams enable comprehensive, multidisciplinary planning.
- Core team members include obstetricians, midwives, cardiologists, anesthesiologists, nurses, and care coordinators.
- Specialists are added based on individual patient needs, ensuring tailored care.
Conclusions:
- Pregnancy heart teams are crucial for improving the management of pregnant individuals with cardiovascular disease.
- Multidisciplinary collaboration enhances the recognition of warning signs and management strategies.
- This approach aims to reduce preventable cardiac morbidity and mortality in pregnancy.
Abstract:
Cardiovascular disease is a leading cause of morbidity and mortality for pregnant patients. A significant portion of cardiac morbidity and mortality is preventable and related to poor or delayed recognition of clinical warning signs and oversights in management. The establishment of pregnancy heart teams facilitates multidisciplinary planning to improve management of people with cardiovascular disease. Core members of the pregnancy heart team include obstetricians, midwives, cardiologists, anesthesiologists, nurses, and patient care coordinators. Additional specialists and subspecialists are included on pregnancy heart teams based on individual patient needs. This review discusses the practical aspects of the pregnancy heart team's approach to caring for pregnant people with cardiovascular disease.
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