Management of Women With Acquired Cardiovascular Disease From Pre-Conception Through Pregnancy and Postpartum

• Authors: Nanette Wenger, Emory University; K Park, University of Florida; CNB Merz, Cedars Sinai Smidt Heart Inst; NA Bello, Columbia Univ Irving Med Ctr; M Davis, VA Ann Arbor Healthcare System; C Duvernoy, VA Ann Arbor Healthcare System; IY Elgendy, Weill Cornell Med Qatar; KC Ferdinand, Tulane University; A Hameed, University of California Irvine; D Itchhaporia, Hoag Mem Hosp; MB Minissian, Cedars Sinai Smidt Heart Inst; H Reynolds, NYU Grossman Sch Med; P Mehta, Emory University; AM Russo, Rowan University; RU Shah, University of Utah; AS Volgman, Rush University; J Wei, Cedars Sinai Smidt Heart Inst; CJ Pepine, University of Florida; KJ Lindley, Washington Univ
• Journal Title: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
• Volume: Volume 77, Number 14
• Publisher: ELSEVIER SCIENCE INC | 2020-04-13, Pages 1799-1812
• Type of Work: Article
• Publisher DOI: http://doi.org/10.1016/j.jacc.2021.01.057
• Keywords: Science & Technology; Life Sciences & Biomedicine; Cardiac & Cardiovascular Systems; Cardiovascular System & Cardiology; cardio-obstetrics; hypertensive disorders of pregnancy; ischemic heart disease; pregnancy; arrhythmia; ACUTE MYOCARDIAL-INFARCTION; EUROPEAN-SOCIETY; TASK-FORCE; HYPERTROPHIC CARDIOMYOPATHY; ATRIAL-FIBRILLATION; CARDIAC EVENTS; GUIDELINES; OUTCOMES; ARRHYTHMIAS; TACHYCARDIA

Abstract

Acquired cardiovascular conditions are a leading cause of maternal morbidity and mortality. A growing number of pregnant women have acquired and heritable cardiovascular conditions and cardiovascular risk factors. As the average age of childbearing women increases, the prevalence of acute coronary syndromes, cardiomyopathy, and other cardiovascular complications in pregnancy are also expected to increase. This document, the third of a 5-part series, aims to provide practical guidance on the management of such conditions encompassing pre-conception through acute management and considerations for delivery.