TY - JOUR
T1 - The role of the pregnancy heart team in clinical practice
AU - Luca, Fabiana
AU - Colivicchi, Furio
AU - Parrini, Iris
AU - Russo, Maria Giovanna
AU - Di Fusco, Stefania Angela
AU - Ceravolo, Roberto
AU - Riccio, Carmine
AU - Favilli, Silvia
AU - Rossini, Roberta
AU - Gelsomino, Sandro
AU - Oliva, Fabrizio
AU - Gulizia, Michele Massimo
AU - Management and Quality Working Group
AU - Pediatric Cardiology Working Group AMMCO
PY - 2023/4/17
Y1 - 2023/4/17
N2 - Significant maternal and fetal morbidity and mortality risk has been shown to be associated with cardiovascular disease in pregnancy. Several determinants, such as the increasing number of females with corrected congenital heart disease in reproductive age, a more advanced maternal age associated with cardiovascular risk factors, and a greater prevalence of preexisting comorbidities related to cardiac disorders such as cancer and COVID-19), lead to a higher incidence of cardiac complications in pregnancy in the last few decades. However, adopting a multidisciplinary strategy may influence maternal and neonatal outcomes. This review aims at assessing the role of the Pregnancy Heart Team, which should ensure careful pre-pregnancy counseling, pregnancy monitoring, and delivery planning for both congenital and other cardiac or metabolic disorders, addressing several emerging aspects in the multidisciplinary team-based approach.
AB - Significant maternal and fetal morbidity and mortality risk has been shown to be associated with cardiovascular disease in pregnancy. Several determinants, such as the increasing number of females with corrected congenital heart disease in reproductive age, a more advanced maternal age associated with cardiovascular risk factors, and a greater prevalence of preexisting comorbidities related to cardiac disorders such as cancer and COVID-19), lead to a higher incidence of cardiac complications in pregnancy in the last few decades. However, adopting a multidisciplinary strategy may influence maternal and neonatal outcomes. This review aims at assessing the role of the Pregnancy Heart Team, which should ensure careful pre-pregnancy counseling, pregnancy monitoring, and delivery planning for both congenital and other cardiac or metabolic disorders, addressing several emerging aspects in the multidisciplinary team-based approach.
KW - acquired heart disease
KW - corrected congenital heart disease
KW - pregnancy heart team
KW - cardio obstetric team
KW - pre-conception counseling
KW - multidisciplinary team-Based approach
KW - postpartum followup
KW - ACUTE MYOCARDIAL-INFARCTION
KW - PERIPARTUM CARDIOMYOPATHY
KW - MATERNAL MORTALITY
KW - CARDIAC-DISEASE
KW - CARDIOVASCULAR COMPLICATIONS
KW - EUROPEAN-SOCIETY
KW - UNITED-STATES
KW - WOMEN
KW - MANAGEMENT
KW - RISK
U2 - 10.3389/fcvm.2023.1135294
DO - 10.3389/fcvm.2023.1135294
M3 - (Systematic) Review article
C2 - 37139137
SN - 2297-055X
VL - 10
JO - Frontiers in Cardiovascular Medicine
JF - Frontiers in Cardiovascular Medicine
M1 - 1135294
ER -