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Recommendations for the Management of High-Risk Cardiac Delivery: ACC Cardiovascular Disease in Women Committee Panel.
JACC Adv
April 2024
Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Article Synopsis
- Maternal mortality in the U.S. is a significant public health issue, with cardiovascular disease (CVD) being a leading cause of related deaths and health complications.
- Labor and delivery pose heightened risks for pregnant individuals with CVD, yet there is varied approach to management due to a lack of high-quality randomized studies.
- To address this, a panel of experts including cardiologists and obstetricians has come together to create practical guidelines for managing labor and delivery for high-risk patients with CVD, covering aspects like delivery method, timing, and use of medical devices.
Multidisciplinary care of peripartum heart failure: A scientific statement of the Heart Failure Association of the ESC.
Eur J Heart Fail
April 2024
IRCCS San Raffaele Pisana, Rome, Italy.
Heart failure is the most common cardiovascular complication during pregnancy and the postpartum period. It is associated with increased risk of maternal morbidity and mortality as well as potentially life-threatening foetal pathology. Management of heart failure in pregnancy requires expert knowledge of cardiovascular disease as well as obstetrics which underscores the importance of multidisciplinary cardio-obstetrics teams in order to optimize diagnosis, treatment and outcome.
View Article and Find Full Text PDFCardio-Obstetrics: A Critical, Growing Subspecialty.
Arq Bras Cardiol
April 2024
Hospital Agamenon Magalhães, Recife, PE - Brasil.
Validation of a noninvasive cardiac output monitor in maternal cardiac disease: comparison of NICOM and transthoracic echocardiogram.
Am J Obstet Gynecol MFM
March 2024
Mid-America Heart Institute, Saint Luke's Hospital of Kansas City, Kansas City, MO (Drs Schmidt, Grodzinsky, Lee, Rader, and Magalski, Ms Gosch, Mr Jones, and Drs Fu and Spertus); Department of Cardiology, University of Missouri-Kansas City, Kansas City, MO (Drs Schmidt, Grodzinsky, Lee, Rader, Magalski, and Spertus).
Article Synopsis
- The study looked at how well two different methods measure heart output in pregnant people, especially those with heart problems.
- One method used was NICOM, a noninvasive monitor, while the other was a 2D echocardiogram, which is more traditional.
- Results showed that NICOM often gave higher readings than echocardiograms, making it less accurate for measuring heart output, especially in healthy pregnant women.
Obstetric considerations for aortopathy in pregnancy.
Ann Cardiothorac Surg
November 2023
Department of Maternal-Fetal Medicine, Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
Article Synopsis
- Aortic dissection (AD) is a serious condition that can happen during pregnancy and can be very dangerous for both the mother and baby, even though it’s rare.
- It usually happens in the later stages of pregnancy or right after childbirth, especially in women with certain genetic conditions.
- It's important for doctors to work together and use special imaging tests to keep an eye on the mother’s aorta (the main blood vessel) while managing the risks during pregnancy.
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