Key result
Multidisciplinary cardio-obstetric care optimizes ICU management of cardiogenic shock and mechanical circulatory support.
Why the study?
Care of the cardio-obstetric population in the cardiac intensive care unit is challenging due to limited data in this patient population.
Provides a comprehensive clinical guide for the multidisciplinary management of critically ill pregnant patients in the cardiac intensive care unit, bridging a critical evidence gap.
Multidisciplinary cardio-obstetric ICU teams may improve complex case management; extends literature but leaves open prospective validation of protocols.
The care of the cardio-obstetric population in the cardiac intensive care unit is challenging due to limited data in this patient population. Optimal care requires a broad multidisciplinary team of experts such that both maternal and fetal health are fully supported. A deep understanding of the interplay between the hemodynamics of pregnancy and the clinical manifestations of varied cardiac disease states is essential. The assessment, diagnostic testing, and treatment of patients who are pregnant require special consideration, especially as teams consider pharmacological and invasive therapies. Complex ethical decisions often arise and therapies may be limited by federal and state policy, which adds an additional layer of complexity. This review serves as an introductory guide to cardio-obstetric care in the cardiac intensive care unit.
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Skowronski et al. (2025) conducted a review in Cardiovascular disease in pregnancy (Cardio-obstetrics). Optimal cardio-obstetric care in the intensive care unit requires a multidisciplinary approach to navigate complex physiological adaptations, cardiogenic shock, and mechanical circulatory support.
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