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Published on: August 8, 2022
Hypertrophic Cardiomyopathy and Pregnancy
Amha Weldehana1, Beeletsega Yeneneh2, Samrawit Zewde3
1From the Department of Cardiology, Westchester Medical Center, Valhalla, NY.
Insights
Hypertrophic cardiomyopathy (HCM) in pregnancy is increasingly common. While often well-tolerated, this review examines diagnosis, risks, and management for expectant mothers with HCM.
Area of Science:
- Cardiology
- Genetics
- Obstetrics
Background:
- Hypertrophic cardiomyopathy (HCM) is an inherited condition affecting the heart muscle.
- Increased screening leads to more women of reproductive age with HCM becoming pregnant.
- Limited evidence exists on managing HCM during pregnancy.
Purpose of the Study:
- To review the epidemiology of HCM in pregnancy.
- To discuss clinical presentation and diagnostic challenges.
- To outline management strategies for pregnant patients with HCM.
Main Methods:
- Literature review of observational studies.
- Analysis of clinical evidence on HCM and pregnancy.
- Synthesis of data on diagnosis, risk stratification, and management.
Main Results:
- HCM is generally well-tolerated during pregnancy for many women.
- Normal pregnancy and delivery outcomes are frequently observed.
- Potential complications necessitate pre-pregnancy intervention considerations.
Conclusions:
- Pregnancy in women with HCM requires careful consideration of potential risks.
- Early diagnosis and risk stratification are crucial.
- Management strategies should be individualized, with potential need for advanced interventions.
Abstract:
Hypertrophic cardiomyopathy (HCM) is an autosomal dominant inherited disease characterized by left ventricular hypertrophy, progressive diastolic dysfunction, left ventricular outflow obstruction, ventricular arrhythmias, and sudden death. Due to widespread screening and early diagnosis, there is a growing number of women of reproductive age with HCM who become pregnant. Despite this trend, there is limited clinical evidence addressing the challenges of diagnosis, risk stratification, and management of HCM. Observational studies have suggested that HCM is generally well tolerated during pregnancy, with many women experiencing normal pregnancy and delivery outcomes. However, complications may arise in some cases, necessitating consideration of advanced therapeutic interventions before pregnancy. This review will examine the epidemiology, clinical presentation, diagnosis, and management of HCM during pregnancy.
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