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J Am Coll Cardiol. 2016 Aug 02;68(5):502-516. doi: 10.1016/j.jacc.2016.05.050. Epub 2016 Jul 18.

High-Risk Cardiac Disease in Pregnancy: Part II.

Journal of the American College of Cardiology

Uri Elkayam, Sorel Goland, Petronella G Pieper, Candice K Silversides

Affiliations

  1. Department of Medicine, Division of Cardiology, and the Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, California. Electronic address: [email protected].
  2. Heart Institute, Kaplan Medical Center, Rehovot, Hebrew University and Hadassah Medical School, Jerusalem, Israel.
  3. Department of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
  4. University of Toronto Pregnancy and Heart Disease Program, Toronto Congenital Cardiac Centre for Adults, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada.

PMID: 27443948 DOI: 10.1016/j.jacc.2016.05.050

Abstract

Heart disease continues to be the leading cause of nonobstetric maternal morbidity and mortality. Early diagnosis and appropriate care can lead to prevention of complications and improvement of pregnancy outcome. This paper continues the review and provides recommendations for the approach to high-risk cardiovascular conditions during gestation.

Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Keywords: Marfan syndrome; Turner syndrome; cardiomyopathies; congenital; heart defects; hypertension; post-partum period; pulmonary

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