Key result
Pregestational counseling and a multidisciplinary team approach are essential for managing the significant hemodynamic risks of pregnancy in women with congenital heart disease.
Why the study?
Advances in care have led to more women with congenital heart disease (CHD) carrying pregnancies with significant risk, requiring cardiologists to evaluate expecting patients and anticipate complications.
Provides a guide for general cardiologists on the evaluation and management of pregnant women with congenital heart disease.
Supports counseling and multidisciplinary care in congenital heart disease pregnancies; extends reviews for clinicians but leaves prospective validation open.
Remarkable advances in the care and survival of congenital heart disease (CHD) patients have led to increasing numbers of young women with CHD who carry a pregnancy with significant risk. The profound hemodynamic changes that naturally occur during gestation may unmask CHD or exacerbate an existing condition and place both the woman and fetus in jeopardy. The caring cardiologist should be familiar with the specific lesion and anticipate complications. Pregestational counseling and a multidisciplinary team approach during pregnancy are key for a successful pregnancy and favorable outcomes. In this review we discuss the evaluation of the expecting CHD patient and focus on the commonly encountered lesions.
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Weinberg et al. (2020) conducted a review in Congenital Heart Disease in Pregnancy. Pregestational counseling and multidisciplinary management was evaluated. Pregestational counseling and a multidisciplinary team approach are essential for managing the significant hemodynamic risks of pregnancy in women with congenital heart disease.
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