Heart Disease and Pregnancy

Heart disease pregnancy logoThis excellent site originates in Toronto and has sections directed both to patients/families and healthcare professionals.  The section for physicians and other health care providers, offers information pertaining to risk assessment and management strategies for pregnant women with heart disease. An international panel of physicians including internists, cardiologists, obstetricians and other medical specialists contributed to the website. The site includes educational material on heart conditions commonly seen in young women of childbearing age.   The section for patients is well-written and informative.  There is information on 29 different topics and diagnoses.  The link to the Motherisk site is a great resource for all kinds of information about pregnancy, most notably about the safety of medications.  There are links to other helpful sites as well.

Heart Disease in Pregnancy

Published on: 06/11/2007 by:

Celia Oakley (Editor), Carole A. Warnes (Editor)

oakley warnes


At A Glance
The new edition of this practical guide draws on the clinical skills of a wide range of international experts to help you recognize and manage heart disease in pregnancy. Designed for on-the-spot use, this convenient and concise text helps you identify a cardiac problem, understand its pathophysiology, and respond appropriately.Under the careful editorial direction of Drs. Oakley and Warnes, the Second Edition introduces new contributors from North America and Europe as well as new chapters on:


  • pulmonary hypertension
  • rheumatic heart disease
  • artificial heart valves
  • Marfan syndrome
  • auto-immune diseases
  • hypertrophic cardiomyopathy
  • rhythm disorders
  • hypertension
  • cardiac intervention


The entire book is scrupulously updated to reflect the most current standards of care. The contributors – all recognized leaders in their respective fields – outline the pathway to diagnosis and appropriate management by a multi-disciplinary team.


Although heart disease is the leading medical cause of maternal death, clinical trials in this population are few and the evidence base is small. The expert recommendations in Heart Disease in Pregnancy, Second Edition, are a welcome source of information for cardiologists, obstetricians, general practitioners, and all members of the patient care team.

This overview of heart disease in the pregnant patient is written by a multidisciplinary group of authors that includes cardiologists, obstetricians, anesthesiologists, and pulmonologists. Each chapter focuses on one aspect of the treatment of heart disease in pregnancy.
The purpose behind this book is to provide a single volume dedicated to the management of heart disease in the pregnant patient.
This book is aimed primarily at practitioners who care for pregnant patients with heart disease. It is appropriate for trainees, mid-levels, cardiology fellows, and practicing cardiologists, obstetricians, and anesthesiologists. The authors are experts in their respective fields.
The book draws on the clinical experience of the authors, as clinical trial evidence in the pregnant patient population is generally limited to cohort studies. Physiological changes in pregnancy and the cardiovascular examination during pregnancy are covered in succinct, well written chapters. There is excellent coverage of valvular heart disease, including its manifestations and treatment. Pregnant patients with pulmonary hypertension and other cardiopulmonary diseases, including cor pulmonale, are reviewed in depth. The section on management of peripartum cardiomyopathy is particularly well written. Excellent chapters discuss cardiac conditions such as coronary artery disease, arrhythmia, congenital heart disease, and hypertension. Finally, chapters discuss the management of labor and delivery, and anesthesia and the pregnant cardiac patient. The chapters are well organized and contain excellent references to the primary literature as well as numerous, easy to read tables.
This second edition is an excellent review of the modern management of heart disease in pregnant patients, written by specialists from multiple disciplines.