Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Dec;25(Suppl 3):S230-S240.
doi: 10.5005/jp-journals-10071-24068.

Critical Care Management of the Parturient with Cardiac Disease

Affiliations

Critical Care Management of the Parturient with Cardiac Disease

Rakesh Garg et al. Indian J Crit Care Med. 2021 Dec.

Abstract

Parturient with heart disease forms a challenging group of patients and requires specialized critical care support in the peripartum period. Maternal heart disease may remain undiagnosed till the second trimester of pregnancy, presenting frequently after 20 weeks of gestation, due to increased demands imposed on the cardiovascular system and pose a serious risk to the life of mother and fetus. Management of critically ill parturient with heart disease must be tailored according to individual assessment of the patient and requires a strategic, multidisciplinary, and protocol-based approach. A dedicated obstetric intensive care unit (ICU) and team effort are the need of the hour.

How to cite this article: Garg R, Hariharan UR, Malik I. Critical Care Management of the Parturient with Cardiac Disease. Indian J Crit Care Med 2021;25(Suppl 3):S230-S240.

Keywords: Arrhythmias; Cardiac failure; Cardiac risk assessment; Cardiomyopathies; Congenital cardiac lesions; Critical care; Ischemic heart disease; Parturient; Pericarditis; Pulmonary hypertension; Valvular heart disease.

PubMed Disclaimer

Conflict of interest statement

Source of support: Nil Conflict of interest: None

Similar articles

Cited by

References

    1. Huisman CM, Zwart JJ, Roos-Hesselink JW, Duvekot JJ, van Roosmalen J. Incidence and predictors of maternal cardiovascular mortality and severe morbidity in the Netherlands: a prospective cohort study. PLoS One. 2013;8(2):e56494. doi: 10.1371/journal.pone.0056494. - DOI - PMC - PubMed
    1. Hu H, Pasca I. Management of complex cardiac issues in the pregnant patient. Crit Care Clin. 2016;32(1):97–107. doi: 10.1016/j.ccc.2015.08.004. - DOI - PubMed
    1. Karnad GR, Guntupalli KK. Critical illness and pregnancy: review of a global problem. Crit Care Clin. 2004;20(4):555–576. doi: 10.1016/j.ccc.2004.05.001. - DOI - PubMed
    1. Tan EK, Tan EL. Alterations in physiology and anatomy during pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013;27(6):791–802. doi: 10.1016/j.bpobgyn.2013.08.001. - DOI - PubMed
    1. Carbillion L, Uzan M, Uzan S. Pregnancy, vascular tone and maternal hemodynamics: a crucial adaptation. Obstet Gynecol Surv. 2000;55(9):574–581. doi: 10.1097/00006254-200009000-00023. - DOI - PubMed