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An Update on Coronary Artery Disease in Pregnancy

  • Coronary Artery Disease (D Feldman and V Voudris, Section Editors)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

Abstract

Purpose of review

We review recent literature regarding coronary artery disease in pregnant women or women desiring pregnancy. This includes preconception counseling, prenatal care, labor and delivery, management of acute events in pregnancy, and postpartum care.

Recent findings

The pregnancy outcomes for women with coronary artery disease and their babies correlate with the degree of recovery from the initial event, coronary revascularization, and current maternal cardiac status. Preconception care includes assessment of cardiac function and management of cardiac medications. Prenatal care includes monitoring for recurrent events and planning for delivery. Delivery planning includes minimizing cardiac ischemia during labor, monitoring for cardiac events, and modifying medications. Postpartum care consists of assessing for recurrent events, assessing medications for compatibility with lactation, and contraception counseling.

Summary

Management is optimized when performed by an interdisciplinary team including Obstetrics, Maternal-Fetal Medicine, Cardiology, and Anesthesiology.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Albany Medical College, 391 Myrtle Avenue 2nd Floor, Albany, NY, 12208, USA

    Anna Natenzon MD & Bruce Morris MD

  2. Division of Cardiology, Department of Medicine, Albany Medical College, Albany, NY, USA

    Joshua Schulman-Marcus MD

Authors
  1. Anna Natenzon MD
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  2. Bruce Morris MD
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  3. Joshua Schulman-Marcus MD
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Corresponding author

Correspondence to Anna Natenzon MD.

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Conflict of Interest

Anna Natenzon declares that she has no conflict of interest. Bruce Morris declares that he has no conflict of interest. Joshua Schulman-Marcus declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Coronary Artery Disease

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Natenzon, A., Morris, B. & Schulman-Marcus, J. An Update on Coronary Artery Disease in Pregnancy. Curr Treat Options Cardio Med 23, 16 (2021). https://doi.org/10.1007/s11936-020-00893-z

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  • DOI: https://doi.org/10.1007/s11936-020-00893-z

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