Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO): pregnancy and congenital heart diseases
| Autor: | Elsa Viora, Giovanna Geraci, Silvia Favilli, Massimo Chessa, Maria Giovanna Russo, Marco Bonvicini, Sebastiano Bianca, Marco Poli, Giuseppe Canzone, Gabriele Egidy Assenza, Rachele Adorisio, Maria Gabriella Carmina, Maurizio Mongiovì, Gabriella Agnoletti, Marcello Campisi, Chiara Barone, Berardo Sarubbi, Francesca Comoglio, Annalisa Alaimo, Innocenzo Bianca, Michele Massimo Gulizia |
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| Přispěvatelé: | Bianca, I., Geraci, G., Gulizia, M. M., Assenza, G. E., Barone, C., Campisi, M., Alaimo, A., Adorisio, R., Comoglio, F., Favilli, S., Agnoletti, G., Carmina, M. G., Chessa, M., Sarubbi, B., Mongiovi, M., Russo, M. G., Bianca, S., Canzone, G., Bonvicini, M., Viora, E., Poli, M. |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pediatrics Heart disease Population Reproductive age 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy medicine 030212 general & internal medicine education Cardiac complication Congenital heart disease Risk assessment education.field_of_study business.industry Articles Cardiovascular disease medicine.disease Cardiac surgery Family medicine Cardiac complications Cardiology and Cardiovascular Medicine business Delivery Pediatric cardiology |
| Zdroj: | European Heart Journal Supplements : Journal of the European Society of Cardiology |
| ISSN: | 1554-2815 1520-765X |
| DOI: | 10.1093/eurheartj/sux032 |
| Popis: | The success of cardiac surgery over the past 50 years has increased numbers and median age of survivors with congenital heart disease (CHD). Adults now represent two-thirds of patients with CHD; in the USA alone the number is estimated to exceed 1 million. In this population, many affected women reach reproductive age and wish to have children. While in many CHD patients pregnancy can be accomplished successfully, some special situations with complex anatomy, iatrogenic or residual pathology are associated with an increased risk of severe maternal and fetal complications. Pre-conception counselling allows women to come to truly informed choices. Risk stratification tools can also help high-risk women to eventually renounce to pregnancy and to adopt safe contraception options. Once pregnant, women identified as intermediate or high risk should receive multidisciplinary care involving a cardiologist, an obstetrician and an anesthesiologist with specific expertise in managing this peculiar medical challenge. This document is intended to provide cardiologists working in hospitals where an Obstetrics and Gynecology Department is available with a streamlined and practical tool, useful for them to select the best management strategies to deal with a woman affected by CHD who desires to plan pregnancy or is already pregnant. |
| Databáze: | OpenAIRE |
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