Why the study?
New evidence accumulated since 2012 on diagnostic techniques, risk assessment, and cardiovascular drug use in pregnancy necessitated updated ESC guidelines for managing cardiovascular diseases during pregnancy.
Population
Pregnant women with known or suspected congenital or acquired cardiovascular and aortic disease or pulmonary hypertension
Comparison
Management according to 2018 ESC Guidelines including mWHO classification and Pregnancy Heart Team multidisciplinary care
Design
ESC guideline update based on systematic literature search from 2011 to 2017
Authors
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Beyond 40 weeks, pregnancy has no added benefit for the baby and may even have negative effects. Pregnancy is a risky period for women with heart disease because it puts additional stress on the heart, so the guidelines advise inducing labour or a caesarean section at 40 weeks.”
“We hope the guidelines will improve doctors' awareness of the risks of heart disease in pregnancy but also the therapeutic options that are available to guide pregnancy in these women.”
“This was really an enormous work to put this together and I think now it's the most reliable and the most comprehensive source on what is known of the potential of different drugs to generate harm to the mother or to the fetus.”
The 2018 ESC Guidelines establish the standard of care for managing cardiovascular diseases during pregnancy, emphasizing multidisciplinary care and structured risk assessment.
The 2018 ESC Guidelines establish the standard of care for managing cardiovascular diseases during pregnancy, emphasizing multidisciplinary care and structured risk assessment.
Vera Regitz‐Zagrosek (2018) conducted a review in Cardiovascular diseases during pregnancy. 2018 ESC Guidelines was evaluated. The 2018 ESC Guidelines update recommendations for managing cardiovascular diseases during pregnancy, noting maternal disease complicates 1-4% of pregnancies and emphasizing Pregnancy Heart Teams.