Pregnancy and cardiomyopathies

Herz
B MaischS Pankuweit

Abstract

This overview on the topic of cardiomyopathy and gestation comprises the diagnostic and therapeutic options of patients with preexistent cardiomyopathies (dilated, hypertrophic, inflammatory, and others) and with cardiomyopathies which have been discovered during or in the 6 months following delivery. CARDIOMYOPATHIES PREEXISTENT BEFORE GESTATION: If cardiomyopathy is present before an intended gestation, the couple should be advised against pregnancy because of the high risk of deterioration both during gestation and peripartum. If pregnancy occurs, according to ESC (European Society of Cardiology) recommendations termination should be advised if the ejection fraction is < 50% and/or the LV dimensions are definitely above normal. If termination is refused, the patient must be checked regularly by both gynecologist and cardiologist, by the latter to perform regular echocardiograms. Termination is not recommended for the hypertrophic (nonobstructive) cardiomyopathies. If atrial fibrillation occurs, anticoagulation with low molecular weight heparin and digoxin and/or Betablockers are recommended for rhythm and rate control. PERIPARTUM CARDIOMYOPATHIES: In peripartum cardiomyopathies, which are discovered clinically postpartum, in...Continue Reading

Citations

Jun 25, 2008·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Vera Regitz-ZagrosekChristoph Nienaber
Jan 16, 2008·Internal Medicine·Hiroaki KawanoTomayoshi Hayashi
Jul 1, 2006·Women's Health·Olaf ForsterKaren Sliwa
May 23, 2006·European Journal of Heart Failure·Irene PortigBernhard Maisch
Nov 3, 2006·Annales de cardiologie et d'angéiologie·S FenniraM R Boujnah
Aug 15, 2006·International Journal of Cardiology·Steffen LamparterBernhard Maisch
Nov 7, 2020·European Heart Journal. Cardiovascular Pharmacotherapy·Silvia FogacciArrigo F G Cicero

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