Сердечно-сосудистые заболевания и диагностика

Care for Pregnant Patients: Cardiovascular Considerations: An American Heart Association Scientific Declaration

Abstract

Tina Burton

The management of cardiovascular disease during pregnancy necessitates a team approach, and cardio-obstetrics has emerged as an important multidisciplinary field. Myocardial infarction, cardiomyopathies, arrhythmias, valvular disease, thromboembolic disease, aortic disease, and cerebrovascular diseases are among the cardiac conditions that can occur during pregnancy. Pregnancy-related mortality in the United States is primarily attributed to cardiovascular disease. Rates of maternal mortality have risen as a result of rising maternal age and preexisting comorbid conditions. Women with preexisting cardiac conditions or a history of preeclampsia must receive preconception counseling from the multidisciplinary cardio-obstetrics team. It is essential to involve the cardio-obstetrics team as soon as possible to avoid maternal morbidity and mortality throughout the pregnancy and the first year after delivery. All cardiovascular and primary care clinicians should have a fundamental understanding of cardiovascular disease during pregnancy. An overview of the diagnosis and treatment of cardiovascular disease during pregnancy is provided in this scientific statement.