Current trends in the management of heart disease in pregnancy

Prediction of complications in pregnant women with cardiac diseases referred to a tertiary center

“…Cardiac diseases represent a wide spectrum of lesions and the impact of pregnancy differs according to the type and severity of heart disease. Several studies showed that women with heart disease are at increased risk for maternal cardiac and neonatal complications [5][6][7][8][9][10][11][12][13][14]. However, the prediction of risk is not well established and specific guidelines in the assessment of these women during pregnancy are scarce [15].…”

Management of preeclampsia after heart transplant

“…1 The patient was also advised to start taking aspirin 81mg for preeclampsia precautions due to her longstanding hypertension and elevated risk due to transplantation Maternal echocardiograms were scheduled during the first and third trimesters to evaluate cardiac function throughout the pregnancy. 3 These were normal and showed no change from baseline ejection fraction. Fetal echo was performed at 20 weeks gestation due to maternal history increasing the risk for fetal cardiac malformations.…”

Effect of maternal heart disease on pregnancy outcomes

“…Other studies combining congenital and acquired heart disease have mainly arisen from the developing world, where rheumatic heart disease is the most predominant cardiac lesion encountered [14][15][16][17][18][19][20][21][22]. These retrospective studies demonstrate a high rate of cardiac complication ranging from 11.11 to 30% and a maternal mortality rate of 2-3.3%.…”