Guidelines for Assessing Maternal Cardiovascular Physiology During Pregnancy and Postpartum

Am J Physiol Heart Circ Physiol. 2024 May 17. doi: 10.1152/ajpheart.00055.2024. Online ahead of print.

Abstract

Maternal mortality rates are at an all-time high across the world and are set to increase in subsequent years. Cardiovascular disease is the leading cause of death during pregnancy and postpartum, especially in the US. Therefore, understanding the physiological changes in the cardiovascular system during normal pregnancy is necessary to understand disease-related pathology. Significant systemic and cardiovascular physiological changes occur during pregnancy that are essential for supporting the maternal-fetal dyad. The physiological impact of pregnancy on the cardiovascular system has been examined in both experimental animal models and in humans. However, there is a continued need in this field of study to provide increased rigor and reproducibility. Therefore, these guidelines aim to provide information regarding best practices and recommendations to accurately and rigorously measure cardiovascular physiology during normal and cardiovascular-disease-complicated pregnancies in human and animal models.

Keywords: Normal pregnancy; animal models; cardiac physiology; hypertensive disorders of pregnancy; vascular function.

Publication types

  • Review

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