Valvular Heart Disease in Pregnancy.

Female Heart Failure / prevention & control Heart Valve Diseases / diagnosis Hemodynamics Humans Pregnancy Pregnancy Complications, Cardiovascular / diagnosis Prognosis Risk Adjustment / methods Risk Assessment
Anticoagulation Aortic stenosis Mechanical heart valve Mitral stenosis Pregnancy Valvular heart disease

Journal

Cardiology clinics
ISSN: 1558-2264
Titre abrégé: Cardiol Clin
Pays: Netherlands
ID NLM: 8300331

Informations de publication

Date de publication:
Feb 2021
Historique:
entrez: 23 11 2020
pubmed: 24 11 2020
medline: 10 8 2021
Statut: ppublish

Résumé

Valvular heart disease (VHD) is generally well tolerated during pregnancy; however, the dramatic changes in hemodynamics that occur during pregnancy can lead to clinical decompensation in high-risk women. Women with VHD considering pregnancy should undergo preconception counseling with a high-risk obstetrician and cardiologist to review the maternal, fetal, and obstetric risks of pregnancy and delivery. Vaginal delivery is recommended for most women with VHD. Given the complexity of managing VHD during pregnancy, women should be managed by a multidisciplinary Pregnancy Heart Team during pregnancy, consisting of a high-risk obstetrician, cardiologist, and cardiac anesthesiologist.

Identifiants

DOI: 10.1016/j.ccl.2020.09.010 PMID: 33222810 PMC: PMC8340680
pubmed: 33222810
pii: S0733-8651(20)30087-4
doi: 10.1016/j.ccl.2020.09.010
pmc: PMC8340680
mid: NIHMS1634912
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

151-161

Subventions

Organisme : NICHD NIH HHS
ID : K12 HD085848
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL153667
Pays : United States
Organisme : NHLBI NIH HHS
ID : R56 HL136730
Pays : United States

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

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Auteurs

Jennifer Lewey (J)

Division of Cardiology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, 2-East Pavilion, Philadelphia, PA 19104, USA. Electronic address: jennifer.lewey@pennmedicine.upenn.edu.

Lauren Andrade (L)

Philadelphia Adult Congenital Heart Center, University of Pennsylvania, Children's Hospital of Philadelphia, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, 2- East Pavilion, Philadelphia, PA 19104, USA.

Lisa D Levine (LD)

Department of Obstetrics and Gynecology, Maternal and Child Health Research Center, University of Pennsylvania Perelman School of Medicine, 3400 Spruce Street, 2 Silverstein, Philadelphia, PA 19104, USA.

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Classifications MeSH

questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Défaillance cardiaque › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Valvulopathies › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Maladies cardiovasculaires › Complications cardiovasculaires de la grossesse › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Diagnostic › Pronostic › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Ajustement du risque › Valvular Heart Disease in Pregnancy.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Appréciation des risques › Valvular Heart Disease in Pregnancy.