ACC CardiaCast

PulseCheck: CV Care in Pregnancy: The Essentials

Oct 3, 2025
Explore the rising importance of cardio-obstetrics as cardiovascular disease becomes more common in pregnancy. Discover how these conditions affect maternal health and can reveal hidden risks. Learn the value of interdisciplinary teams that include various specialists to ensure comprehensive care. Clinicians are urged to take detailed reproductive histories to better identify risks. Plus, gain practical tips for managing pregnant patients, like anticipating arrhythmias and collaborating across disciplines.
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INSIGHT

Rising Burden Of CV Disease In Pregnancy

  • Cardiovascular disease in pregnancy has risen, affecting over 11% of pregnant women when hypertension is included.
  • This growth reflects older maternal age, rising obesity/diabetes, and more congenital heart disease survivors entering childbearing years.
ADVICE

Adopt A Lifespan Team-Based Care Model

  • Manage women preconception, during pregnancy, and postpartum using a team-based cardio-obstetrics model.
  • Train fellows and lead advocacy efforts to implement structured frameworks for care and reduce pregnancy cardiovascular complications.
INSIGHT

Pregnancy As A Natural Stress Test

  • Pregnancy acts as a natural stress test that unmasks subclinical cardiometabolic risk in younger women.
  • Identifying and treating risk during pregnancy benefits both maternal and offspring long-term health.
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