Next Article in Journal
At the Crossroads of Minimally Invasive Mitral Valve Surgery—Benching Single Hospital Experience to a National Registry: A Plea for Risk Management Technology
Previous Article in Journal
Cardioprotective Strategies from Cardiotoxicity in Cancer Patients: A Comprehensive Review
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCDD
Volume 9
Issue 8
10.3390/jcdd9080260
jcdd-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Pregnancy Considerations in the Multidisciplinary Care of Patients with Pulmonary Arterial Hypertension

by
Julie Coursen
1,
Catherine E. Simpson
2,
Monica Mukherjee
3,
Arthur J. Vaught
4,
Shelby Kutty
3,
Tala K. Al-Talib
3,
Malissa J. Wood
5,
Nandita S. Scott
5,
Stephen C. Mathai
2 and
Garima Sharma
3,*
1
Department of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA
2
Divisions of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA
3
Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA
4
Division of Maternal Fetal Medicine, Department of Gynecology Obstetrics, Johns Hopkins University, Baltimore, MD 21218, USA
5
Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2022, 9(8), 260; https://doi.org/10.3390/jcdd9080260
Submission received: 22 June 2022 / Revised: 26 July 2022 / Accepted: 8 August 2022 / Published: 11 August 2022
(This article belongs to the Section Pediatric Cardiology and Congenital Heart Disease)
Browse Figures
Versions Notes

Abstract

Pulmonary arterial hypertension (PAH) is a vasoconstrictive disease of the distal pulmonary vasculature resulting in adverse right heart remodeling. Pregnancy in PAH patients is associated with high maternal morbidity and mortality as well as neonatal and fetal complications. Pregnancy-associated changes in the cardiovascular, pulmonary, hormonal, and thrombotic systems challenge the complex PAH physiology. Due to the high risks, patients with PAH are currently counseled against pregnancy based on international consensus guidelines, but there are promising signs of improving outcomes, particularly for patients with mild disease. For patients who become pregnant, multidisciplinary care at a PAH specialist center is needed for peripartum monitoring, medication management, delivery, postpartum care, and complication management. Patients with PAH also require disease-specific counseling on contraception and breastfeeding. In this review, we detail the considerations for reproductive planning, pregnancy, and delivery for the multidisciplinary care of a patient with PAH.
Keywords: pulmonary hypertension; pregnancy; peripartum cardiovascular disease; cardio-obstetrics pulmonary hypertension; pregnancy; peripartum cardiovascular disease; cardio-obstetrics

Share and Cite

MDPI and ACS Style

Coursen, J.; Simpson, C.E.; Mukherjee, M.; Vaught, A.J.; Kutty, S.; Al-Talib, T.K.; Wood, M.J.; Scott, N.S.; Mathai, S.C.; Sharma, G. Pregnancy Considerations in the Multidisciplinary Care of Patients with Pulmonary Arterial Hypertension. J. Cardiovasc. Dev. Dis. 2022, 9, 260. https://doi.org/10.3390/jcdd9080260

AMA Style

Coursen J, Simpson CE, Mukherjee M, Vaught AJ, Kutty S, Al-Talib TK, Wood MJ, Scott NS, Mathai SC, Sharma G. Pregnancy Considerations in the Multidisciplinary Care of Patients with Pulmonary Arterial Hypertension. Journal of Cardiovascular Development and Disease. 2022; 9(8):260. https://doi.org/10.3390/jcdd9080260

Chicago/Turabian Style

Coursen, Julie, Catherine E. Simpson, Monica Mukherjee, Arthur J. Vaught, Shelby Kutty, Tala K. Al-Talib, Malissa J. Wood, Nandita S. Scott, Stephen C. Mathai, and Garima Sharma. 2022. "Pregnancy Considerations in the Multidisciplinary Care of Patients with Pulmonary Arterial Hypertension" Journal of Cardiovascular Development and Disease 9, no. 8: 260. https://doi.org/10.3390/jcdd9080260

APA Style

Coursen, J., Simpson, C. E., Mukherjee, M., Vaught, A. J., Kutty, S., Al-Talib, T. K., Wood, M. J., Scott, N. S., Mathai, S. C., & Sharma, G. (2022). Pregnancy Considerations in the Multidisciplinary Care of Patients with Pulmonary Arterial Hypertension. Journal of Cardiovascular Development and Disease, 9(8), 260. https://doi.org/10.3390/jcdd9080260

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop