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Review

Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration

by
Kamala P. Tamirisa
1,*,
Cicely Dye
2,
Rachel M. Bond
3,
Lisa M. Hollier
4,
Karolina Marinescu
2,
Marmar Vaseghi
5,
Andrea M. Russo
6,
Martha Gulati
7 and
Annabelle Santos Volgman
2
1
Texas Cardiac Arrhythmia Institute, Dallas, TX 78704, USA
2
Division of Cardiology, Rush University Medical Center, Chicago, IL 60612, USA
3
Division of Cardiology, Dignity Health, Chandler, AZ 85224, USA
4
Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, TX 77030, USA
5
Division of Cardiology, UCLA Cardiac Arrhythmia Center, Los Angeles, CA 90095, USA
6
Division of Cardiology, Cooper University Hospital, Camden, NJ 08103, USA
7
Barbra Streisand Women’s Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2022, 9(7), 199; https://doi.org/10.3390/jcdd9070199
Submission received: 26 May 2022 / Revised: 17 June 2022 / Accepted: 18 June 2022 / Published: 24 June 2022
(This article belongs to the Special Issue Heart Disease in Women)
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Abstract

The prevalence of CVD in pregnant people is estimated to be around 1 to 4%, and it is imperative that clinicians that care for obstetric patients can promptly and accurately diagnose and manage common cardiovascular conditions as well as understand when to promptly refer to a high-risk obstetrics team for a multidisciplinary approach for managing more complex patients. In pregnant patients with CVD, arrhythmias and heart failure (HF) are the most common complications that arise. The difficulty in the management of these patients arises from variable degrees of severity of both arrhythmia and heart failure presentation. For example, arrhythmia-based complications in pregnancy can range from isolated premature ventricular contractions to life-threatening arrhythmias such as sustained ventricular tachycardia. HF also has variable manifestations in pregnant patients ranging from mild left ventricular impairment to patients with advanced heart failure with acute decompensated HF. In high-risk patients, a collaboration between the general obstetrics, maternal-fetal medicine, and cardiovascular teams (which may include cardio-obstetrics, electrophysiology, adult congenital, or advanced HF)—physicians, nurses and allied professionals—can provide the multidisciplinary approach necessary to properly risk-stratify these women and provide appropriate management to improve outcomes.
Keywords: collaborative; cardio-obstetrics; women; CVD collaborative; cardio-obstetrics; women; CVD

Share and Cite

MDPI and ACS Style

Tamirisa, K.P.; Dye, C.; Bond, R.M.; Hollier, L.M.; Marinescu, K.; Vaseghi, M.; Russo, A.M.; Gulati, M.; Volgman, A.S. Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration. J. Cardiovasc. Dev. Dis. 2022, 9, 199. https://doi.org/10.3390/jcdd9070199

AMA Style

Tamirisa KP, Dye C, Bond RM, Hollier LM, Marinescu K, Vaseghi M, Russo AM, Gulati M, Volgman AS. Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration. Journal of Cardiovascular Development and Disease. 2022; 9(7):199. https://doi.org/10.3390/jcdd9070199

Chicago/Turabian Style

Tamirisa, Kamala P., Cicely Dye, Rachel M. Bond, Lisa M. Hollier, Karolina Marinescu, Marmar Vaseghi, Andrea M. Russo, Martha Gulati, and Annabelle Santos Volgman. 2022. "Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration" Journal of Cardiovascular Development and Disease 9, no. 7: 199. https://doi.org/10.3390/jcdd9070199

APA Style

Tamirisa, K. P., Dye, C., Bond, R. M., Hollier, L. M., Marinescu, K., Vaseghi, M., Russo, A. M., Gulati, M., & Volgman, A. S. (2022). Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration. Journal of Cardiovascular Development and Disease, 9(7), 199. https://doi.org/10.3390/jcdd9070199

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