Cardiac disease is one of the leading causes of maternal morbidity and mortality. Catastrophic outcomes typically encountered are due to gaps in knowledge and communication between health care providers. There is a great need for a standardized approach for care of this very high-risk group of pregnant women.
The book encompasses detailed obstetrics and cardiology perspectives that are crucial in the management of the commonly encountered cardiac conditions in pregnancy. This text aims to provide guidance to the whole team caring for a pregnant cardiac patient consisting of obstetricians, maternal-fetal medicine, hospitalists, cardiologists, obstetric anaesthesiologists, emergency physicians, primary care providers and nurses.
Cardio-Obstetric team organization Preconception counselling and family planning considerations Cardiovascular disease screening and risk stratification of a pregnant cardiac patient Management of a wide spectrum of cardiovascular diagnoses through use of checklists and algorithms in a simple format Essential key points for each cardiac diagnosis
1 Burden of cardiovascular disease Diana Wolfe, Afshan B. Hameed, and Elliott Main 2 The Cardio Obstetric team Diana Wolfe 3 Cardiovascular physiology of pregnancy and clinical implications Jessica Spiegelman, Marie-Louise Meng, Jennifer Haythe, and Dena Goffman 4 Preconception care: Optimization of cardiac risk Mary M. Canobbio 5 Termination and contraceptive options for the cardiac patient Blake Zwerling and Rachel Perry 6 Cardiovascular symptoms: Is it pregnancy or the heart? Melissa Perez and Afshan B Hameed 7 Cardiac diagnostic testing in pregnancy Edlira Tam and Cynthia Taub 8 Anesthesia and analgesia in the pregnant cardiac patient Katherine W. Arendt 9 Anticoagulation in pregnancy Rachel A Newman, Ather Mehboob, and Judith H Chung 10 Congenital Heart Disease in pregnancy Jeannette P. Lin 11 Valve disease in pregnancy Tanush Gupta, Thomas Boucher, and Anna E. Bortnick 12 Cardiomyopathies in pregnancy Joan Briller 13 Vascular disease and dissection in pregnancy Melinda B. Davis 14 Acute coronary syndromes in pregnancy Pavan Reddy, Gassan Moady, and Uri Elkayam 15 Pulmonary hypertension in pregnancy Nisha Garg and Stephanie Martin 16 Arrhythmias in pregnancy Dana Senderoff and Lee Brian Padove 17 Thromboembolism and amniotic fluid embolism Arthur J. Vaught 18 Endocarditis in pregnancy Ann K. Lal and Thaddeus P. Waters 19 Cardiac surgery in pregnancy Kathryn Lindley 20 Cardiovascular medications in pregnancy Alice Chan and Ali N Zaidi 21 Cardiopulmonary resuscitation in pregnancy Lauren A. Plante Index
Afshan B. Hameed, MD, FACC, FACOG, Professor of Maternal-Fetal Medicine and Cardiology, University of California, Irvine Diana S. Wolfe, MD, MPH, FACOP, Associate Professor of Maternal-Fetal Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New York