The role of the pregnancy heart team in clinical practice

Fabiana Luca; Furio Colivicchi; Iris Parrini; Maria Giovanna Russo; Stefania Angela Di Fusco; Roberto Ceravolo; Carmine Riccio; Silvia Favilli; Roberta Rossini; Sandro Gelsomino; Fabrizio Oliva; Michele Massimo Gulizia; Management and Quality Working Group; Pediatric Cardiology Working Group AMMCO

doi:10.3389/fcvm.2023.1135294

The role of the pregnancy heart team in clinical practice

Fabiana Luca^*, Furio Colivicchi, Iris Parrini, Maria Giovanna Russo, Stefania Angela Di Fusco, Roberto Ceravolo, Carmine Riccio, Silvia Favilli, Roberta Rossini, Sandro Gelsomino, Fabrizio Oliva, Michele Massimo Gulizia, Management and Quality Working Group, Pediatric Cardiology Working Group AMMCO

^*Corresponding author for this work

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

Abstract

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.

Original language	English
Article number	1135294
Number of pages	10
Journal	Frontiers in Cardiovascular Medicine
Volume	10
DOIs	https://doi.org/10.3389/fcvm.2023.1135294
Publication status	Published - 17 Apr 2023

Keywords

acquired heart disease
corrected congenital heart disease
pregnancy heart team
cardio obstetric team
pre-conception counseling
multidisciplinary team-Based approach
postpartum followup
ACUTE MYOCARDIAL-INFARCTION
PERIPARTUM CARDIOMYOPATHY
MATERNAL MORTALITY
CARDIAC-DISEASE
CARDIOVASCULAR COMPLICATIONS
EUROPEAN-SOCIETY
UNITED-STATES
WOMEN
MANAGEMENT
RISK

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10.3389/fcvm.2023.1135294Licence: CC BY

Cite this

Luca, F., Colivicchi, F., Parrini, I., Russo, M. G., Di Fusco, S. A., Ceravolo, R., Riccio, C., Favilli, S., Rossini, R., Gelsomino, S., Oliva, F., Gulizia, M. M., Management and Quality Working Group, & Pediatric Cardiology Working Group AMMCO (2023). The role of the pregnancy heart team in clinical practice. Frontiers in Cardiovascular Medicine, 10, Article 1135294. https://doi.org/10.3389/fcvm.2023.1135294

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title = "The role of the pregnancy heart team in clinical practice",

abstract = "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.",

keywords = "acquired heart disease, corrected congenital heart disease, pregnancy heart team, cardio obstetric team, pre-conception counseling, multidisciplinary team-Based approach, postpartum followup, ACUTE MYOCARDIAL-INFARCTION, PERIPARTUM CARDIOMYOPATHY, MATERNAL MORTALITY, CARDIAC-DISEASE, CARDIOVASCULAR COMPLICATIONS, EUROPEAN-SOCIETY, UNITED-STATES, WOMEN, MANAGEMENT, RISK",

author = "Fabiana Luca and Furio Colivicchi and Iris Parrini and Russo, {Maria Giovanna} and {Di Fusco}, {Stefania Angela} and Roberto Ceravolo and Carmine Riccio and Silvia Favilli and Roberta Rossini and Sandro Gelsomino and Fabrizio Oliva and Gulizia, {Michele Massimo} and {Management and Quality Working Group} and {Pediatric Cardiology Working Group AMMCO}",

year = "2023",

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doi = "10.3389/fcvm.2023.1135294",

language = "English",

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Luca, F, Colivicchi, F, Parrini, I, Russo, MG, Di Fusco, SA, Ceravolo, R, Riccio, C, Favilli, S, Rossini, R, Gelsomino, S, Oliva, F, Gulizia, MM, Management and Quality Working Group & Pediatric Cardiology Working Group AMMCO 2023, 'The role of the pregnancy heart team in clinical practice', Frontiers in Cardiovascular Medicine, vol. 10, 1135294. https://doi.org/10.3389/fcvm.2023.1135294

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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

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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

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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

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VL - 10

JO - Frontiers in Cardiovascular Medicine

JF - Frontiers in Cardiovascular Medicine

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ER -