Cardiac disease is a leading cause of maternal death in pregnancy in many developed countries. However, there is a lack of evidence-based guidelines to assist in planning the management of affected pregnancies. The purpose of these guidelines is to provide a summary of current expert opinion as an interim measure, with the hope that these opinions will be supplemented by objective evidence in due course. Cardiac disease in pregnancy is still a major problem worldwide.
Although the reported incidence varies between 0.1 and 4%, cardiac disease remains a significant cause of maternal death worldwide. Most patients with cardiac disease in pregnancy present with mixed mitral valve disease. Furthermore, pathological involvement of other cardiac valves in isolation or in combination is also associated with significant morbidity. Risk assessment Myocardial infarction Pregnancy itself raises the…
