Cardiac Considerations in Pregnancy: A Spotlight on Peripartum Cardiomyopathy and Pregnancy-Associated Spontaneous Coronary Dissection - 04/08/25

Doi : 10.1016/j.ogc.2025.06.001

Sarah Thordsen, MD ^a, Joan Briller, MD ^b, Meredith O. Cruz, MD ^c,^⁎
^a Division of Cardiovascular Medicine, University of Wisconsin Madison, Madison, WI 53792, USA
^b Division of Cardiology, Department of Medicine, Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL 60612, USA
^c Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI 53226, USA

^∗Corresponding author. Division of Cardiovascular Medicine, University of Wisconsin Madison, Madison, WI 53792.Division of Cardiovascular MedicineUniversity of Wisconsin MadisonMadisonWI53792

Résumé

Cardiovascular diseases complicating pregnancies are major causes of peripartum morbidity and mortality. The field of Cardio-Obstetrics has evolved to treat women with acquired and metabolic-related cardiovascular diseases in addition to congenital heart disease. Peripartum cardiomyopathy (PPCM) is a heart failure etiology specific to pregnant and post-partum women. Pregnancy-associated spontaneous coronary dissection (p-SCAD) is the most common cause of acute myocardial infarction in the pregnant and post-partum population, highlighting the importance of evaluating chest discomfort. Adequate therapy for both PPCM and p-SCAD requires expertise from multiple medical subspecialities, which underscores the necessity of the Cardio-Obstetric team approach.

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Keywords : Peripartum cardiomyopathy, Pregnancy-associated spontaneous coronary dissection, Heart failure, Acute myocardial infarction, Cardio-obstetrics team