Key result
An estimated 0.5-4% of pregnant patients have cardiac disease, with congenital heart disease becoming the most common source of cardiac problems in this population.
A comprehensive understanding of pregnancy physiology and maternal cardiac disease pathophysiology is crucial for multidisciplinary peripartum care.
May support multidisciplinary peripartum planning; extends prevalence estimates while leaving optimal strategies open.
PURPOSE OF REVIEW: An estimated 0.5-4% of pregnant patients have cardiac disease, such as rheumatic disease, which is decreasing in Western countries, uncorrected congenital heart disease, cardiomyopathy and ischaemic heart disease. There has been an increase in maternal mortality due to cardiac causes. Congenital heart disease is becoming the most common source of cardiac problems in the pregnant patient, because patients are increasingly likely to survive to childbearing age with the improvement of surgery. RECENT FINDINGS: The increasing age of patients conceiving their first child is also an important factor. A comprehensive understanding of the physiology of pregnancy and the pathophysiology of maternal cardiac disease is of great importance for anaesthesiologists, gynaecologists and cardiologists involved in peripartum care. SUMMARY: We try to give a brief and comprehensive review on this topic.
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Cox et al. (2005) conducted a review in Maternal cardiac disease. An estimated 0.5-4% of pregnant patients have cardiac disease, with congenital heart disease becoming the most common source of cardiac problems in this population.
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