Recommendations for the Management of High-Risk Cardiac Delivery: ACC Cardiovascular Disease in Women Committee Panel

Maternal mortality is a major public health crisis in the United States. Cardiovascular disease (CVD) is a leading cause of maternal mortality and morbidity. Labor and delivery is a vulnerable time for pregnant individuals with CVD but there is significant heterogeneity in the management of labor an...

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Published in:JACC. Advances (Online) 2024-04, Vol.3 (4), p.100901
Main Authors: Lau, Emily S, Aggarwal, Niti R, Briller, Joan E, Crousillat, Daniela R, Economy, Katherine E, Harrington, Colleen M, Lindley, Kathryn J, Malhamé, Isabelle, Mattina, Deirdre J, Meng, Marie-Louise, Mohammed, Selma F, Quesada, Odayme, Scott, Nandita S
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container_issue 4
container_start_page 100901
container_title JACC. Advances (Online)
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creator Lau, Emily S
Aggarwal, Niti R
Briller, Joan E
Crousillat, Daniela R
Economy, Katherine E
Harrington, Colleen M
Lindley, Kathryn J
Malhamé, Isabelle
Mattina, Deirdre J
Meng, Marie-Louise
Mohammed, Selma F
Quesada, Odayme
Scott, Nandita S
description Maternal mortality is a major public health crisis in the United States. Cardiovascular disease (CVD) is a leading cause of maternal mortality and morbidity. Labor and delivery is a vulnerable time for pregnant individuals with CVD but there is significant heterogeneity in the management of labor and delivery in high-risk patients due in part to paucity of high-quality randomized data. The authors have convened a multidisciplinary panel of cardio-obstetrics experts including cardiologists, obstetricians and maternal fetal medicine physicians, critical care physicians, and anesthesiologists to provide a practical approach to the management of labor and delivery in high-risk individuals with CVD. This expert panel will review key elements of management from mode, timing, and location of delivery to use of invasive monitoring, cardiac devices, and mechanical circulatory support.
doi_str_mv 10.1016/j.jacadv.2024.100901
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title Recommendations for the Management of High-Risk Cardiac Delivery: ACC Cardiovascular Disease in Women Committee Panel
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