Heart failure, cardiomyopathy and pregnancy

Česká verzia

Authors: Krejčí J.
Authors place of work: I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně
Published in the journal: Kardiol Rev Int Med 2018, 20(4): 256-259

Summary

There are a number of haemodynamic changes during pregnancy and childbirth that may have a serious impact on women with the presence of heart failure, or lead to its manifestation in previously asymptomatic women. The diagnosis of heart failure during pregnancy may be complicated by the presence of concomitant difficulties associated with pregnancy that may hide the true cause of this condition. If heart failure is known already before pregnancy, our task is to participate in preconception counselling, maternal and foetal pregnancy risk assessment, medication adjustments during pregnancy, and discussion about optimal birth management. The most common cause of heart failure in pregnancy are cardiomyopathies. They do not form a homogeneous group of diseases, in some types of pregnancy it is well tolerated, while others are contraindications for a planned pregnancy or may be a reason for pregnancy interruption. Some cardiomyopathies are genetically linked and are associated with a possible transmission of disease to the child. To optimise care for women with heart failure who are planning a pregnancy or are already pregnant, it is desirable to create specialised multidisciplinary teams with participation of the cardiologist.

Key words:

heart failure – cardiomyopathy – pregnancy

Zdroje

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