Guidelines for Assessing Maternal Cardiovascular Physiology During Pregnancy and Postpartum

Helen E Collins*, Barbara T Alexander, Alison S Care, Margie H Davenport, Sandra T Davidge, Mansoureh Eghbali, Dino A Giussani, Martijn F Hoes, Colleen G Julian, Holly A LaVoie, I Mark Olfert, Susan E Ozanne, Egle Bytautiene Prewit, Junie P Warrington, Lubo Zhang, Styliani Goulopoulou*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

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 United States. 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.

Original languageEnglish
Pages (from-to)H191-H220
JournalAmerican Journal of Physiology-heart and Circulatory Physiology
Volume327
Issue number1
Early online date17 May 2024
DOIs
Publication statusPublished - 1 Jul 2024

Keywords

  • Normal pregnancy
  • animal models
  • cardiac physiology
  • hypertensive disorders of pregnancy
  • vascular function

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