| 000 | 02638nam a22004217a 4500 | ||
|---|---|---|---|
| 008 | 241030s20242024 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a1061-5377 | ||
| 024 | _a00045415-990000000-00305 [pii] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a39078143 | ||
| 245 | _aPreparing the Heart for a New Baby: Management of Pregnancy in Heart Transplant Recipients. | ||
| 251 | _aCardiology in Review. 2024 Jul 30 | ||
| 252 | _aCardiol Rev. 2024 Jul 30 | ||
| 253 | _aCardiology in review | ||
| 260 | _c2024 | ||
| 260 | _fFY2025 | ||
| 260 | _p2024 Jul 30 | ||
| 265 | _saheadofprint | ||
| 265 | _tPublisher | ||
| 266 | _d2024-10-30 | ||
| 266 | _z2024/07/30 09:03 | ||
| 501 | _aAvailable online from MWHC library: 2001 - present | ||
| 520 | _aHeart transplant (HT) recipients are more frequently reaching childbearing age given improvement in median survival and outcomes after HT. Although most pregnancies in HT recipients have favorable outcomes, poor fetal outcomes and maternal complications such as hypertensive disorders of pregnancy are more common in HT recipients than in the general population. In this review, we summarize the current evidence to guide the management of pregnancy in HT recipients. Preconception counseling, focused on risk stratification and optimal timing of conception, is the first important step to optimize pregnancy outcomes. During pregnancy and in the postpartum period, frequent monitoring of graft function and immunosuppressive levels is recommended. Calcineurin inhibitors and corticosteroids should be the mainstay of treatment for both prevention and treatment of graft rejection. Delivery planning should follow usual obstetric indications, preferably with vaginal delivery at term using regional anesthesia. A multidisciplinary care team should be involved in management through all stages of pregnancy to ensure success. Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 546 | _aEnglish | ||
| 650 | _zAutomated | ||
| 650 | _aIN PROCESS -- NOT YET INDEXED | ||
| 651 | _aMedStar Heart & Vascular Institute | ||
| 651 | _aMedStar Washington Hospital Center | ||
| 656 | _aCardiovascular Disease Fellowship | ||
| 657 | _aJournal Article | ||
| 700 |
_aGupta, Richa _bMHVI |
||
| 700 |
_aHussien, Merna _bMHVI _cCardiovascular Disease Fellowship _dMD |
||
| 700 |
_aLam, Phillip H _bMHVI |
||
| 700 |
_aLorente-Ros, Marta _bMHVI |
||
| 790 | _aHussien M, Lorente-Ros M, Lam PH, Frishman WH, Aronow WS, Gupta R | ||
| 856 |
_uhttps://dx.doi.org/10.1097/CRD.0000000000000758 _zhttps://dx.doi.org/10.1097/CRD.0000000000000758 |
||
| 942 |
_cART _dArticle |
||
| 999 |
_c14708 _d14708 |
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