Just over three decades have passed since the first successful pregnancy in a heart transplant patient, and in the intervening years, several hundred additional cases have been reported. Looking ahead, it is likely that many more heart and heart–lung transplant…
Caring for pregnant women with heart disease is a complex undertaking for several reasons. First, neither nurses nor physicians have typically trained, or practiced, in both the obstetric and adult critical care settings. Second, the care of pregnant women always…
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Assessing the risk posed by pregnancy, for both the mother and baby, is an essential component of caring for women with cardiac disease who are considering becoming pregnant as well as for those who are already pregnant. This chapter explores…
Need for Maternal Cardiac Care Programs A maternal cardiac care program requires the marshalling of significant resources, particularly in terms of personnel, space, and equipment. To justify these resources, we advise estimating the number of patients in need of such…
This chapter presents an overview of cardiac arrest in pregnancy and discusses the measures that can be taken to address it: advanced cardiac life support (ACLS), perimortem cesarean section (PMCS), and postarrest targeted temperature management. Overview: Cardiac Arrest in Pregnancy…
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Cardiac testing during pregnancy may include one of more of the following: cardiac magnetic resonance imaging (MRI) scan, chest radiography, computed tomography (CT), electrocardiography, graded exercise testing, Holter monitor or other wearable event recorders, implantable loop recorder, radionuclide investigations, stress…
During pregnancy, women may present for nonobstetric surgical procedures, most commonly related to traumatic injury, appendicitis, or cholecystitis. Care must be taken to provide a safe anesthetic for both patients, with maternal stability directly correlating with fetal well-being. Although there…