Multidisciplinary care of peripartum heart failure: A scientific statement of the Heart Failure Association of the ESC

Amina Rakisheva; Karen Sliwa; Johann Bauersachs; Sophie Van Linthout; Vijay K Chopra; Antoni Bayes-Genis; Franca Fruzzetti; Antonio Cannatà; Benjamin Deniau; Alexandre Mebazaa; Gianluigi Savarese; Robin Ray; Cristiana Vitale; Marco Metra; Giuseppe M C Rosano

doi:10.1002/ejhf.3246

Multidisciplinary care of peripartum heart failure: A scientific statement of the Heart Failure Association of the ESC

Eur J Heart Fail. 2024 Apr 28. doi: 10.1002/ejhf.3246. Online ahead of print.

Authors

Amina Rakisheva^{1

2}, Karen Sliwa³, Johann Bauersachs⁴, Sophie Van Linthout^{5

6}, Vijay K Chopra⁷, Antoni Bayes-Genis^{8

9

10}, Franca Fruzzetti¹¹, Antonio Cannatà¹², Benjamin Deniau^{13

14

15

16}, Alexandre Mebazaa^{13

14

15

16}, Gianluigi Savarese¹⁷, Robin Ray¹⁸, Cristiana Vitale¹⁸, Marco Metra¹⁹, Giuseppe M C Rosano²⁰

Affiliations

¹ Department of Cardiology, City Cardiology Center, Almaty, Kazakhstan.
² Qonaev City Hospital, Almaty, Kazakhstan.
³ Cape Heart Institute, Department of Cardiology and Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
⁴ Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
⁵ Berlin Institute of Health (BIH) at Charité - Universitätmedizin Berlin, BIH Center for Regenerative Therapies (BCRT), Berlin, Germany.
⁶ German Center for Cardiovascular Research (DZHK), Partner site Berlin, Berlin, Germany.
⁷ Max Superspeciality Hospital, Saket, New Delhi, India.
⁸ CIBERCV, Carlos III Institute of Health, Madrid, Spain.
⁹ Institut del Cor, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain.
¹⁰ Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
¹¹ Department of Obstetrics and Gynecology, Pisa University Hospital, Pisa, Italy.
¹² King's College London, British Heart Foundation Centre of Research Excellence, School of Cardiovascular Medicine & Sciences, London, UK.
¹³ Department of Anesthesiology, Critical Care and Burn Unit, University Hospital Saint-Louis - Lariboisière, AP-HP, Paris, France.
¹⁴ INSERM UMR-S 942, Cardiovascular Markers in Stress Condition (MASCOT), Université de Paris Cité, Paris, France.
¹⁵ Université de Paris Cité, Paris, France.
¹⁶ FHU PROMICE, DMU Parabol, Paris, France.
¹⁷ Department of Medicine, Karolinska Institutet, and Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
¹⁸ Cardiology Clinical Academic Group, Molecular and Clinical Sciences Research Institute, St George's, University of London, St George's Hospital, London, UK.
¹⁹ Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
²⁰ IRCCS San Raffaele Pisana, Rome, Italy.

PMID: 38679896
DOI: 10.1002/ejhf.3246

Abstract

Heart failure is the most common cardiovascular complication during pregnancy and the postpartum period. It is associated with increased risk of maternal morbidity and mortality as well as potentially life-threatening foetal pathology. Management of heart failure in pregnancy requires expert knowledge of cardiovascular disease as well as obstetrics which underscores the importance of multidisciplinary cardio-obstetrics teams in order to optimize diagnosis, treatment and outcome. This includes counselling of women at risk before and during the course of pregnancy in order to strengthen the relationship between medical specialists and patients, as well as to allow patient-centred delivery of care and improve quality of life.

Keywords: Counselling; Heart failure; Multidisciplinary approach; Peripartum; Pregnancy.