Pregnancy in women with heart disease: risk assessment and management of heart failure

Heart Fail Clin. 2014 Jan;10(1):117-29. doi: 10.1016/j.hfc.2013.09.014.

Abstract

Heart disease, present in 0.5% to 3% of pregnant women, is an important cause of morbidity and the leading cause of death among pregnant women in the developed world. Certain heart conditions are associated with an increased risk of heart failure during pregnancy or the postpartum period; for these conditions, management during pregnancy benefits from multidisciplinary care at a center with expertise in pregnancy and heart disease. This article focuses on cardiac risks and management strategies for women with acquired and congenital heart disease who are at increased risk of heart failure during pregnancy.

Keywords: Cardiomyopathy; Congenital heart disease; Heart failure; Pregnancy.

Publication types

  • Review

MeSH terms

  • Disease Management
  • Female
  • Heart Defects, Congenital / complications*
  • Heart Failure* / diagnosis
  • Heart Failure* / epidemiology
  • Heart Failure* / etiology
  • Heart Failure* / physiopathology
  • Heart Failure* / prevention & control
  • Humans
  • Outcome and Process Assessment, Health Care
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / diagnosis
  • Pregnancy Complications, Cardiovascular* / mortality
  • Pregnancy Complications, Cardiovascular* / physiopathology
  • Pregnancy Complications, Cardiovascular* / therapy
  • Prenatal Care / methods
  • Prenatal Care / organization & administration
  • Risk Assessment
  • Risk Factors