Contemporary Management of Cardiomyopathy and Heart Failure in Pregnancy

Autor: Henrietta Afari, Megan Sheehan, Nosheen Reza
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Cardiology and Therapy, Vol 13, Iss 1, Pp 17-37 (2024)
Druh dokumentu: article
ISSN: 2193-8261
2193-6544
DOI: 10.1007/s40119-024-00351-y
Popis: Abstract Cardiovascular disease is the primary cause of pregnancy-related mortality and morbidity in the United States, and maternal mortality has increased over the last decade. Pregnancy and the postpartum period are associated with significant vascular, metabolic, and physiologic adaptations that can unmask new heart failure or exacerbate heart failure symptoms in women with known underlying cardiomyopathy. There are unique management considerations for heart failure in women throughout pregnancy, and it is imperative that clinicians caring for pregnant women understand these important principles. Early involvement of multidisciplinary cardio-obstetrics teams is key to optimizing maternal and fetal outcomes. In this review, we discuss the unique challenges and opportunities in the diagnosis of heart failure in pregnancy, management principles along the continuum of pregnancy, and the safety of heart failure therapies during and after pregnancy.
Databáze: Directory of Open Access Journals
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