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.

Features:

• 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

1.Burden of cardiovascular disease. 2.The Cardio-Obstetric team. 3.Cardiovascular physiology of pregnancy and clinical implications. 4.Preconception care: Optimization of cardiac risk. 5.Termination and contraceptive options for the cardiac patient. 6.Cardiovascular symptoms: Is it pregnancy or the heart? 7.Cardiac diagnostic testing in pregnancy. 8.Anesthesia and analgesia in the pregnant cardiac patient. 9.Anticoagulation in pregnancy. 10.Congenital heart disease in pregnancy. 11.Valve disease in pregnancy. 12.Cardiomyopathies in pregnancy. 13.Vascular disease and dissection in pregnancy. 14.Acute coronary syndromes in pregnancy. 15.Pulmonary hypertension in pregnancy. 16.Arrhythmias in pregnancy. 17.Thromboembolism and amniotic fluid embolism. 18.Endocarditis in pregnancy. 19.Cardiac surgery in pregnancy. 20.Cardiovascular medications in pregnancy. 21.Cardiopulmonary resuscitation in pregnancy.

Afshan B. Hameed, MD, FACC, FACOG, Professor of Maternal-Fetal Medicine and Cardiology, University of California, Irvine

Diana S. Wolfe, MD, MPH, FACOP, Associate Professor of Maternal-Fetal Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, New York