Key result
Anesthetic management of pregnant cardiac patients requires a comprehensive heart team and tailored delivery techniques.
Why the study?
Successful anesthetic management of pregnant patients with cardiac disease requires an understanding of maternal physiology and alterations induced by labor analgesia and anesthesia for cesarean delivery.
Successful anesthetic management of pregnant patients with cardiac disease requires understanding maternal physiology and utilizing a comprehensive pregnancy heart team.
Alerts clinicians to pregnancy physiology for safe cardiac anesthesia; leaves open prospective validation of techniques.
Successful anesthetic management of pregnant patients with cardiac disease requires an understanding of both maternal physiology and alterations induced by labor analgesia and anesthesia for cesarean delivery. This review provides an overview of physiological changes of pregnancy pertinent to obstetric anesthesiology in regard to patients with cardiac disease, including modifications to labor analgesic techniques, indications for additional monitoring, and both regional anesthetic and general anesthetic management of complex cardiac patients for cesarean delivery. The importance of a comprehensive pregnancy heart team cannot be overstated, especially when managing patients with very high-risk cardiac comorbidities.
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Kraitem et al. (2026) conducted a review in Pregnant patients with cardiac disease. Anesthetic and analgesic management was evaluated. Anesthetic and analgesic management of pregnant patients with cardiac disease requires a comprehensive pregnancy heart team and tailored techniques for labor and cesarean delivery.
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