Key result
Multidisciplinary pregnancy heart teams optimize delivery planning for high-risk cardio-obstetric patients with decompensating disease.
Why the study?
Patients with newly diagnosed or decompensating cardiovascular disease during pregnancy are at high risk of morbidity and mortality, and more evidence-based guidance is needed for their management.
Highlights the critical role of multidisciplinary pregnancy heart teams, particularly anesthesiologists, in managing high-risk cardio-obstetric patients.
Cardiovascular disease (CVD) is a leading cause of maternal mortality. Patients with newly diagnosed or decompensating CVD are at high risk of morbidity and mortality. Pregnancy heart teams (PHTs) allow for multidisciplinary management of the cardio-obstetric patient. Anesthesiologists are key members of the PHT. A cardio-obstetric patient's delivery plan should consider the pathophysiology of their lesion in the context of the hemodynamic changes that occur during pregnancy, labor, delivery, or termination, and the postpartum period. More research is needed to provide evidence-based guidance for the management of cardio-obstetric patients.
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Ernst et al. (2026) conducted a review in Cardiovascular disease in pregnancy. Multidisciplinary pregnancy heart teams and anesthetic management was evaluated. Multidisciplinary pregnancy heart teams, including anesthesiologists, are essential for managing delivery plans in cardio-obstetric patients with newly diagnosed or decompensating cardiovascular disease.
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