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Section 6 - Cardiopulmonary Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 407 - 506
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Aggarwal, SR, Economy, KE, Valente, AM. State of the art management of mechanical heart valves during pregnancy. Curr Treat Options Cardiovasc Med. 2018;20(12):102.CrossRefGoogle ScholarPubMed
Bhagra, CJ, D’Souza, R, Silversides, CK. Valvular heart disease and pregnancy part II: management of prosthetic valves. Heart. 2017;103(3):244–252.CrossRefGoogle ScholarPubMed
Daughety, MM, Zilberman-Rudenko, J, Shatzel, JJ, et al. Management of anticoagulation in pregnant women with mechanical heart valves. Obstet Gynecol Surv. 2020;75(3):190–198.CrossRefGoogle ScholarPubMed
D’Souza, R, Ostro, J, Shah, PS, et al. Anticoagulation for pregnant women with mechanical heart valves: a systematic review and meta-analysis. Eur Heart J. 2017;38(19):1509–1516.Google Scholar
Güner, A, Kalçık, M, Gürsoy, MO, et al. Comparison of different anticoagulation regimens regarding maternal and fetal outcomes in pregnant patients with mechanical prosthetic heart valves (from the Multicenter ANATOLIA-PREG Registry). Am J Cardiol. 2020;127:113–119.CrossRefGoogle ScholarPubMed
Mehta, LS, Warnes, CA, Bradley, E, et al. Cardiovascular considerations in caring for pregnant patients: a scientific statement from the American Heart Association. Circulation. 2020;141(23):e884–e903. [Corrections in Circulation. 2020 Jun 9;141(23):e904; Circulation. 2021 Mar 23;143(12):e792–e793]CrossRefGoogle ScholarPubMed
Otto, CM, Nishimura, RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Thorac Cardiovasc Surg. 2021;162(2):e183–e353.Google Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–3241.Google Scholar
Steinberg, ZL, Dominguez-Islas, CP, Otto, CM, et al. Maternal and fetal outcomes of anticoagulation in pregnant women with mechanical heart valves. J Am Coll Cardiol. 2017;69(22):2681–2691.Google Scholar

Suggested Readings

Baris, L, Hakeem, A, Moe, T, et al. Acute coronary syndrome and ischemic heart disease in pregnancy: data from the EURObservational Research Programme – European Society of Cardiology Registry of Pregnancy and Cardiac Disease. J Am Heart Assoc. 2020;9(15):e015490.Google Scholar
Campbell, KH, Tweet, MS. Coronary disease in pregnancy: myocardial infarction and spontaneous coronary artery dissection. Clin Obstet Gynecol. 2020;63(4):852–867.Google Scholar
Cauldwell, M, Baris, L, Roos-Hesselink, JW, et al. Ischaemic heart disease and pregnancy. Heart. 2019;105(3):189–195.CrossRefGoogle ScholarPubMed
Chavez, P, Wolfe, D, Bortnick, AE. Management of ischemic heart disease in pregnancy. Curr Atheroscler Rep. 2021;23(9):52.CrossRefGoogle ScholarPubMed
Lameijer, H, Burchill, LJ, Baris, L, et al. Pregnancy in women with pre-existent ischaemic heart disease: a systematic review with individualised patient data. Heart. 2019;105(11):873–880.Google Scholar
Nallapati, C, Park, K. Ischemic heart disease in pregnancy. Cardiol Clin. 2021;39(1):91–108.Google Scholar
National Institute for Health and Care Excellence (NICE): Intrapartum care for women with existing medical conditions or obstetric complications and their babies. Evidence reviews for women at high risk of adverse outcomes for themselves and/or their baby because of existing maternal medical conditions, September 2018. Available at www.nice.org.uk/guidance/ng121/documents/evidence-review-14. Accessed July 18, 2021.Google Scholar
Park, K, Bairey Merz, CN, Bello, NA, et al. Management of women with acquired cardiovascular disease from pre-conception through pregnancy and postpartum: JACC Focus Seminar 3/5. J Am Coll Cardiol. 2021;77(14):1799–1812.Google Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–3241.CrossRefGoogle ScholarPubMed
Tweet, MS, Lewey, J, Smilowitz, NR, et al. Pregnancy-associated myocardial infarction: prevalence, causes, and interventional management. Circ Cardiovasc Interv. 2020. https://doi.org/10.1161/CIRCINTERVENTIONS.120.008687Google Scholar

Suggested Readings

American College of Obstetricians and Gynecologists’ Presidential Task Force on Pregnancy and Heart Disease and Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin No. 212: Pregnancy and heart disease. Obstet Gynecol. 2019;133(5):e320–e356.Google Scholar
Anjum, H, Surani, S. Pulmonary hypertension in pregnancy: a review. Medicina (Kaunas). 2021;57(3):259.Google Scholar
Aryal, SR, Moussa, H, Sinkey, R, et al. Management of reproductive health in patients with pulmonary hypertension. Am J Obstet Gynecol MFM. 2020;2(2):100087.Google Scholar
Ballard, W 3rd, Dixon, B, McEvoy, CA, et al. Pulmonary arterial hypertension in pregnancy. Cardiol Clin. 2021;39(1):109–118.CrossRefGoogle ScholarPubMed
Galiè, N, Humbert, M, Vachiery, JL, et al. 2015 ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension. Rev Esp Cardiol (Engl Ed). 2016;69(2):177.Google Scholar
Kiely, DG, Condliffe, R, Wilson, VJ, et al. Pregnancy and pulmonary hypertension: a practical approach to management. Obstet Med. 2013;6(4):144–154.Google Scholar
Low, TT, Guron, N, Ducas, R, et al. Pulmonary arterial hypertension in pregnancy-a systematic review of outcomes in the modern era. Pulm Circ. 2021;11(2):20458940211013671.CrossRefGoogle ScholarPubMed
Martin, SR, Edwards, A. Pulmonary hypertension and pregnancy. Obstet Gynecol. 2019;134(5):974–987. [Correction in Obstet Gynecol. 2020 Apr;135(4):978]CrossRefGoogle ScholarPubMed
Običan, SG, Cleary, KL. Pulmonary arterial hypertension in pregnancy. Semin Perinatol. 2014;38(5):289–294.CrossRefGoogle ScholarPubMed
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–3241.Google Scholar

Suggested Readings

Bauersachs, J, Arrigo, M, Hilfiker-Kleiner, D, et al. Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2016 Sep;18(9):1096–105.Google Scholar
Bauersachs, J, König, T, van der Meer, P, et al. Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2019 Jul;21(7):827–843.CrossRefGoogle Scholar
Bozkurt, B, Colvin, M, Cook, J, et al. Current diagnostic and treatment strategies for specific dilated cardiomyopathies: a scientific statement from the American Heart Association. Circulation. 2016 Dec 6;134(23): e579–e646.Google Scholar
Cunningham, FG, Byrne, JJ, Nelson, DB. Peripartum cardiomyopathy. Obstet Gynecol. 2019 Jan;133(1):167–179.CrossRefGoogle ScholarPubMed
Davis, MB, Arany, Z, McNamara, DM, et al. Peripartum cardiomyopathy: JACC state-of-the-art review. J Am Coll Cardiol. 2020 Jan 21;75(2):207–221.Google Scholar
Haghikia, A, Schwab, J, Vogel-Claussen, J, et al. Bromocriptine treatment in patients with peripartum cardiomyopathy and right ventricular dysfunction. Clin Res Cardiol. 2019 Mar;108(3):290–297.Google Scholar
Honigberg, MC, Givertz, MM. Peripartum cardiomyopathy. BMJ. 2019 Jan 30; 364:k5287.CrossRefGoogle ScholarPubMed
Koczo, A, Marino, A, Jeyabalan, A, et al. Breastfeeding, cellular immune activation, and myocardial recovery in peripartum cardiomyopathy. JACC Basic Transl Sci. 2019 Jun 24;4(3):291–300.Google Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018; 39(34):3165–3241.CrossRefGoogle ScholarPubMed
Schaufelberger, M. Cardiomyopathy and pregnancy. Heart. 2019 Oct;105(20):1543–1551.CrossRefGoogle ScholarPubMed

Suggested Readings

British Thoracic Society and Scottish Intercollegiate Guidelines Network (BTN/SIGN 158). British guideline on the management of asthma: a national clinical guideline. July 2019. Available at www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/. Accessed May 16, 2021.Google Scholar
Bonham, CA, Patterson, KC, Strek, ME. Asthma outcomes and management during pregnancy. Chest. 2018;153(2):515–527.Google Scholar
Chan, AL, Juarez, MM, Gidwani, N, et al. Management of critical asthma syndrome during pregnancy. Clin Rev Allergy Immunol. 2015;48(1):45–53.CrossRefGoogle ScholarPubMed
Cusack, RP, Gauvreau, GM. Pharmacotherapeutic management of asthma in pregnancy and the effect of sex hormones. Expert Opin Pharmacother. 2021;22(3):339–349.CrossRefGoogle ScholarPubMed
Global Initiative for Asthma (GINA). 2021 GINA Report, global strategy for asthma management and prevention. Available at https://ginasthma.org/gina-reports/. Accessed May 18, 2021.Google Scholar
McLaughlin, K, Foureur, M, Jensen, ME, et al. Review and appraisal of guidelines for the management of asthma during pregnancy. Women Birth. 2018;31(6):e349–e357.CrossRefGoogle ScholarPubMed
Middleton, PG, Gade, EJ, Aguilera, C, et al. ERS/TSANZ Task Force Statement on the management of reproduction and pregnancy in women with airways diseases. Eur Respir J. 2020;55(2):1901208.Google Scholar
Namazy, JA, Schatz, M. Management of asthma during pregnancy: optimizing outcomes and minimizing risk. Semin Respir Crit Care Med. 2018;39(1):29–35.Google ScholarPubMed
National Heart, Lung, and Blood Institute; National Asthma Education and Prevention Program Asthma and Pregnancy Working Group. NAEPP expert panel report. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. J Allergy Clin Immunol. 2005;115(1):34–46. [Correction in J Allergy Clin Immunol. 2005 Mar;115(3):477]Google Scholar
Wang, H, Li, N, Huang, H. Asthma in pregnancy: pathophysiology, diagnosis, whole-course management, and medication safety. Can Respir J. 2020:9046842.Google Scholar
Xu, Z, Doust, JA, Wilson, LF, et al. Asthma severity and impact on perinatal outcomes: an updated systematic review and meta-analysis. BJOG. 2021. https://doi.org/10.1111/1471-0528.16968Google Scholar

Suggested Readings

Canadian Tuberculosis Standards, 7th ed; 2014. Available at www.canada.ca/en/public-health/services/infectious-diseases/canadian-tuberculosis-standards-7th-edition.html. Accessed January 20, 2021.Google Scholar
Centers for Disease Control and Prevention (CDC). TB in specific populations: pregnancy. Available at www.cdc.gov/tb/topic/populations/pregnancy/default.htm. Accessed January 17, 2021.Google Scholar
El-Messidi, A, Czuzoj-Shulman, N, Spence, AR, et al. Medical and obstetric outcomes among pregnant women with tuberculosis: a population-based study of 7.8 million births. Am J Obstet Gynecol. 2016;215(6): 797.e1–797.e6.CrossRefGoogle ScholarPubMed
International Union against Tuberculosis and Lung Disease. Management of tuberculosis – a guide to essential practice. 7th ed., 2019. Available at https://theunion.org/technical-publications/management-of-tuberculosis-a-guide-to-essential-practice. Accessed January 17, 2021.Google Scholar
Public Health England. Pregnancy and tuberculosis – information for clinicians. Available at www.gov.uk/government/publications/tuberculosis-and-pregnant-women. Accessed January 17, 2021.Google Scholar
Miele, K, Bamrah Morris, S, Tepper, NK. Tuberculosis in pregnancy. Obstet Gynecol. 2020;135(6):1444–1453.Google Scholar
Sobhy, S, Babiker, Z, Zamora, J, et al. Maternal and perinatal mortality and morbidity associated with tuberculosis during pregnancy and the postpartum period: a systematic review and meta-analysis. BJOG. 2017;124(5):727–733.Google Scholar
Queensland guidelines for the treatment of tuberculosis in pregnant women and newborn infants, version 3.1. September 2016. Available at www.health.qld.gov.au/clinical-practice/guidelines-procedures/diseases-infection/diseases/tuberculosis/guidance/guidelines. Accessed January 17, 2021.Google Scholar
World Health Organization (WHO). Guidelines on TB. Available at www.who.int/tb/publications/9789241547833/en/. Accessed January 17, 2021.Google Scholar
Zha, BS, Nahid, P. Treatment of drug-susceptible tuberculosis. Clin Chest Med. 2019;40(4):763–774.CrossRefGoogle ScholarPubMed

Suggested Readings

Edenborough, FP, Borgo, G, Knoop, C, et al. European Cystic Fibrosis Society. Guidelines for the management of pregnancy in women with cystic fibrosis. J Cyst Fibros. 2008;7 (Suppl 1):S2–32.CrossRefGoogle ScholarPubMed
Geake, J, Tay, G, Callaway, L, et al. Pregnancy and cystic fibrosis: approach to contemporary management. Obstet Med. 2014; 7(4):147–155.CrossRefGoogle ScholarPubMed
Grigoriadis, C, Tympa, A, Theodoraki, K. Cystic fibrosis and pregnancy: counseling, obstetrical management and perinatal outcome. Invest Clin. 2015; 56(1):66–72.Google ScholarPubMed
Heltshe, SL, Godfrey, EM, Josephy, T, et al. Pregnancy among cystic fibrosis women in the era of CFTR modulators. J Cyst Fibros. 2017;16(6):687–694.Google Scholar
Lau, EMT, Moriarty, C, Ogle, R, et al. Pregnancy and cystic fibrosis. Paediatr Respir Rev. 2010; 11:90–94.CrossRefGoogle ScholarPubMed
McArdle, J. Pregnancy in cystic fibrosis. Clin Chest Med. 2011; 32:111–120.CrossRefGoogle ScholarPubMed
Middleton, PG, Gade, EJ, Aguilera, C, et al. ERS/TSANZ Task Force Statement on the management of reproduction and pregnancy in women with airways diseases. Eur Respir J. 2020;55:1901208.Google Scholar
Panchaud, A, Di Paolo, ER, Koutsokera, A, et al. Safety of drugs during pregnancy and breastfeeding in cystic fibrosis patients. Respiration. 2016;91(4):333–348.CrossRefGoogle ScholarPubMed
Roe, AH, Traxler, S, Schreiber, CA. Contraception in women with cystic fibrosis: a systematic review of the literature. Contraception. 2016; 93:3–10.CrossRefGoogle ScholarPubMed
Whitty, JE. Cystic fibrosis and pregnancy. Clin Obstetr Gynecol. 2010;53(2):369–376.Google Scholar

Suggested Readings

ACOG Committee Opinion No. 767. Emergent therapy for acute-onset, severe hypertension during pregnancy and the postpartum period. Obstet Gynecol. 2019;133(2):e174–e180.Google Scholar
American College of Obstetricians and Gynecologists' Committee on Practice Bulletins – Obstetrics. ACOG Practice Bulletin No. 209: Obstetric analgesia and anesthesia. Obstet Gynecol. 2019;133(3):e208–e225.Google Scholar
Brown, MA, Magee, LA, Kenny, LC, et al. The hypertensive disorders of pregnancy: ISSHP classification, diagnosis and management recommendations for international practice. Pregnancy Hypertens. 2018;13:291–310.Google Scholar
Combs, CA, Montgomery, DM. Society for Maternal-Fetal Medicine (SMFM) Special Statement: Checklists for preeclampsia risk-factor screening to guide recommendations for prophylactic low-dose aspirin. Am J Obstet Gynecol. 2020 Sept;223(3):B7–B11.CrossRefGoogle Scholar
Gestational hypertension and preeclampsia: ACOG Practice Bulletin No. 222. Obstet Gynecol. 2020;135(6):e237–e260.Google Scholar
Lauder, J, Sciscione, A, Biggio, J, et al. Society for Maternal-Fetal Medicine Consult Series No. 50: The role of activity restriction in obstetric management: Am J Obstet Gynecol. 2020;223(2):B2–B10.Google Scholar
Magee, LA, Pels, A, Helewa, M, et al. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy: executive summary. J Obstet Gynaecol Can. 2014;36(5):416–441.Google Scholar
National Institute for Health and Care Excellence (NICE). Hypertension in pregnancy: diagnosis and management (NICE guideline NG133). 2019. Available at www.nice.org.uk/guidance/ng133. Accessed September 10, 2020.Google Scholar
Poon, LC, Shennan, A, Hyett, JA, et al. The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention. Int J Gynaecol Obstet. 2019;145(Suppl 1):1–33. [Correction in Int J Gynaecol Obstet. 2019 Sep;146(3):390–391]Google Scholar
Rabi, DM, McBrien, KA, Sapir-Pichhadze, R, et al. Hypertension Canada's 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children. Can J Cardiol. 2020;36(5):596–624.Google Scholar
Sotiriadis, A, Hernandez-Andrade, E, da Silva Costa, F, et al. ISUOG Practice Guidelines: role of ultrasound in screening for and follow-up of pre-eclampsia. Ultrasound Obstet Gynecol. 2019;53(1):7–22.CrossRefGoogle ScholarPubMed

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