Cardio-Obstetrics: A Practical Guide to Care for Pregnant Cardiac Patients

Cardiac disease is one of the leading causes of maternal morbidity and mortality. Catastrophic outcomes typically encountered are due to gaps in knowledge and communication between health care providers. There is a great need for a standardized approach for care of this very high-risk group of pregnant women.

The book encompasses detailed obstetrics and cardiology perspectives that are crucial in the management of the commonly encountered cardiac conditions in pregnancy. This text aims to provide guidance to the whole team caring for a pregnant cardiac patient consisting of obstetricians, maternal-fetal medicine, hospitalists, cardiologists, obstetric anaesthesiologists, emergency physicians, primary care providers and nurses.

• Cardio-Obstetric team organization
• Preconception counselling and family planning considerations
• Cardiovascular disease screening and risk stratification of a pregnant cardiac patient
• Management of a wide spectrum of cardiovascular diagnoses through use of checklists and algorithms in a simple format
• Essential key points for each cardiac diagnosis

Table of Contents

1 Burden of cardiovascular disease
Diana Wolfe, Afshan B. Hameed, and Elliott Main
2 The Cardio Obstetric team
Diana Wolfe
3 Cardiovascular physiology of pregnancy and clinical implications
Jessica Spiegelman, Marie-Louise Meng, Jennifer Haythe, and Dena Goffman
4 Preconception care: Optimization of cardiac risk
Mary M. Canobbio
5 Termination and contraceptive options for the cardiac patient
Blake Zwerling and Rachel Perry
6 Cardiovascular symptoms: Is it pregnancy or the heart?
Melissa Perez and Afshan B Hameed
7 Cardiac diagnostic testing in pregnancy
Edlira Tam and Cynthia Taub
8 Anesthesia and analgesia in the pregnant cardiac patient
Katherine W. Arendt
9 Anticoagulation in pregnancy
Rachel A Newman, Ather Mehboob, and Judith H Chung
10 Congenital Heart Disease in pregnancy
Jeannette P. Lin
11 Valve disease in pregnancy
Tanush Gupta, Thomas Boucher, and Anna E. Bortnick
12 Cardiomyopathies in pregnancy
Joan Briller
13 Vascular disease and dissection in pregnancy
Melinda B. Davis
14 Acute coronary syndromes in pregnancy
Pavan Reddy, Gassan Moady, and Uri Elkayam
15 Pulmonary hypertension in pregnancy
Nisha Garg and Stephanie Martin
16 Arrhythmias in pregnancy
Dana Senderoff and Lee Brian Padove
17 Thromboembolism and amniotic fluid embolism
Arthur J. Vaught
18 Endocarditis in pregnancy
Ann K. Lal and Thaddeus P. Waters
19 Cardiac surgery in pregnancy
Kathryn Lindley
20 Cardiovascular medications in pregnancy
Alice Chan and Ali N Zaidi
21 Cardiopulmonary resuscitation in pregnancy
Lauren A. Plante

Index