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Cardiac Disease In Pregnancy
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Cardiac Disease In Pregnancy

A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Basic and Translational Cardiovascular Research".

Deadline for manuscript submissions: closed (15 January 2023)

Special Issue Editors

Dr. Nandita S. Scott

E-Mail Website
Guest Editor
1. Department of Medicine, Division of Cardiology, Massachusetts General Hospital, Boston, MA 02114, USA
2. Harvard Medical School, Boston, MA 02114, USA
Interests: cardiovascular disease and pregnancy; microvascular disease; SCAD
Dr. Amy A. Sarma

E-Mail Website
Guest Editor
1. Department of Medicine, Division of Cardiology, Massachusetts General Hospital, Boston, MA 02114, USA
2. Harvard Medical School, Boston, MA 02114, USA
Interests: hypertensive disorders of pregnancy; cardiovascular disease in women; SCAD
Dr. Karen L. Florio

E-Mail Website
Guest Editor
1. Division of Women’s and Children’s, Saint Luke’s Hospital of Kansas City, Kansas City, MO 64111, USA
2. Department of Obstetrics and Gynecology, University of Missouri-Kansas City School of Medicine, Kansas City, MO 64110, USA
Interests: cardiovascular disease in pregnancy

Special Issue Information

Dear Colleagues,

Cardiovascular disease is a leading cause of maternal mortality in the United States. Cardiologists need to be prepared to manage pregnant women with cardiovascular conditions, however knowledge gaps persist. Significant racial disparities in maternal mortality exist across the nation and strategies to improve care in these individuals are also needed. The impact of the SCOTUS decision to repeal Roe v. Wade, and subsequent loss of reproductive rights for many women in this country, further compounds this problem. Cardiovascular clinicians will, therefore, need to be a part of the solution to improve maternal outcomes in individuals of reproductive age by providing expert preconception counseling, learning how to manage, learning when to refer, and research solutions to improve care for this at risk population. We welcome submissions from original research, case reports, and review articles that highlight the current and evolving areas in the field of cardiovascular disease and pregnancy.

Dr. Nandita S. Scott
Dr. Amy A. Sarma
Dr. Karen L. Florio
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Cardiovascular Development and Disease is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardio obstetrics
  • pregnancy
  • maternal health
  • preconception counseling
  • peripartum cardiomyopathy
  • maternal mortality

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Published Papers (2 papers)

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Research

15 pages, 284 KiB  
Article
Patient-Perceived Satisfaction and Knowledge Uptake in a Combined Cardio-Obstetrics Clinic
by Karen L. Florio, Darcy White, Kensey Gosch, Neil Patel, Tara Daming, Emily M. Williams, Sarah Hostetter, Rebecca Gray, Lynne Nelson, Kathleen Swearingen, Christine Henricks, Anna Grodzinsky, Valerie Rader, John Lee, Anthony Magalski and Laura Schmidt
J. Cardiovasc. Dev. Dis. 2022, 9(12), 433; https://doi.org/10.3390/jcdd9120433 - 2 Dec 2022
Cited by 4 | Viewed by 1757
Abstract
Heart disease is the leading cause of pregnancy-related mortality in the United States and has led to the development of combined cardio-obstetrics (COB) clinics as a model for prenatal care. In other areas of medicine, these types of collaborative care models have shown [...] Read more.
Heart disease is the leading cause of pregnancy-related mortality in the United States and has led to the development of combined cardio-obstetrics (COB) clinics as a model for prenatal care. In other areas of medicine, these types of collaborative care models have shown improvement in morbidity, mortality, and patient satisfaction. There is some data to suggest that a combined COB clinic improves maternal outcomes but there is no data to suggest patients prefer this type of care model. This study aims to evaluate patient satisfaction in a combined COB clinic and whether this type of model enhances perceived communication and knowledge uptake. A quality questionnaire was developed to assess patient perceptions regarding communication, satisfaction, and perceived knowledge. Patients who attended the clinic (n = 960) from 2014–2020 were contacted by email, with a response received from 119 (12.5%). Participants completed a questionnaire assessing satisfaction and perceived knowledge uptake with answers based on a Likert scale (7 representing very satisfied and 1 representing very unsatisfied). Safe and effective contraceptive use was evaluated by multiple choice options. Knowledge was also assessed by comparing contraceptive use before and after the clinic. Participants reported high levels of satisfaction with the clinic (6.2 ± 1.5), provider-to-patient communication (6.1 ± 1.6), and with the multidisciplinary appointment approach (6.3 ± 1.5). As well, participants reported an increase in knowledge about heart disease a result of collaborative counseling. In summary, a multidisciplinary approach to cardio-obstetrics not only improves outcomes but is a patient satisfier. Full article
(This article belongs to the Special Issue Cardiac Disease In Pregnancy)
15 pages, 2035 KiB  
Article
Management of May Thurner Syndrome in Pregnant Patients
by Tabitha L. Schrufer-Poland, Karen Florio, Anna Grodzinsky, John J. Borsa and Laura Schmidt
J. Cardiovasc. Dev. Dis. 2022, 9(12), 410; https://doi.org/10.3390/jcdd9120410 - 23 Nov 2022
Cited by 3 | Viewed by 6048
Abstract
May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients [...] Read more.
May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients is based on expert opinion without any formal evidence-based guidance. Herein, we review five pregnancies in four patients with May Thurner Syndrome and general management strategies. Through collaborative and multidisciplinary care, patients with May Thurner Syndrome can be safely and successfully managed during pregnancy and the postpartum period with appropriate anticoagulation. Full article
(This article belongs to the Special Issue Cardiac Disease In Pregnancy)
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