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Pregnancy in women with hypertrophic cardiomyopathy

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Abstract

Hypertrophic cardiomyopathy (HCM) is increasingly being diagnosed in pregnant women. Women with HCM generally tolerate pregnancy well. The risk is however higher in women who are symptomatic before pregnancy or in those with severe left ventricular outflow tract obstruction. The incidence of arrhythmias does not appear to be increased during pregnancy and maternal mortality is low. Prior to conception, women with HCM should have a risk assessment as well as genetic counselling. During pregnancy beta-blockers should be continued and the judicious use of diuretics may be required to treat symptoms of dyspnoea. A vaginal delivery with regional anaesthesia is usually appropriate. Women should be managed by a specialist multidisciplinary team.

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Authors and Affiliations

  1. Department of Cardiology, University Medical Centre Groningen, University of Groningen, PO Box 30.001, 9700 RB, Groningen, the Netherlands

    P. G. Pieper

  2. The Grown Up Congenital Heart Disease Unit, The Heart Hospital, University College London Hospitals (UCLH) NHS Trust, London, UK

    F. Walker

Authors
  1. P. G. Pieper
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  2. F. Walker
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Correspondence to P. G. Pieper.

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Pieper, P.G., Walker, F. Pregnancy in women with hypertrophic cardiomyopathy. Neth Heart J 21, 14–18 (2013). https://doi.org/10.1007/s12471-012-0358-7

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  • DOI: https://doi.org/10.1007/s12471-012-0358-7

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