🧵on the top 10 breakthroughs in CVD in pregnancy & postpartum by @GarimaVSharmaMD
1) Pregnancy is a critical time period
⬆️ in maternal mortality recently
#ACC23/#WCCCardio #CardioNerds
1) Pregnancy is a critical time period
⬆️ in maternal mortality recently
#ACC23/#WCCCardio #CardioNerds
2) Adverse pregnancy outcomes
🌟pathophys: placenta involved (vaso spasm, ischemia, inflammation)
🌟pts w/ obesity, HTN, dyslipidemia, insulin resistance are at higher risk
🌟important to take reproductive history in patients
#ACC23/#WCCCardio #CardioNerds
🌟pathophys: placenta involved (vaso spasm, ischemia, inflammation)
🌟pts w/ obesity, HTN, dyslipidemia, insulin resistance are at higher risk
🌟important to take reproductive history in patients
#ACC23/#WCCCardio #CardioNerds
4) Change in HTN targets in pregnancy w/ recent data
#ACC23/#WCCCardio #CardioNerds
CHAP trial ➡️ also check out #CardsJC with @CardioNerdsJC
cardionerds.com
#ACC23/#WCCCardio #CardioNerds
CHAP trial ➡️ also check out #CardsJC with @CardioNerdsJC
cardionerds.com
5) Peripartum cardiomyopathy
➡️Etiology not well understand
Double hit phenomenon - vascular (angiogenesis) & genetic predisposition
➡️trials looking at bromocriptine
#ACC23/#WCCCardio #CardioNerds
➡️Etiology not well understand
Double hit phenomenon - vascular (angiogenesis) & genetic predisposition
➡️trials looking at bromocriptine
#ACC23/#WCCCardio #CardioNerds
6) Prevention of preeclampsia
New USPSTF recommendation to consider aspirin with more than 1 of several moderate risk factors for preeclampsia
#ACC23/#WCCCardio #CardioNerds
New USPSTF recommendation to consider aspirin with more than 1 of several moderate risk factors for preeclampsia
#ACC23/#WCCCardio #CardioNerds
7) Statins in pregnancy
Trials have used pravastatin as it is hydrophilic
#ACC23/#WCCCardio #CardioNerds
Trials have used pravastatin as it is hydrophilic
#ACC23/#WCCCardio #CardioNerds
8) postpartum care
✨re-evaluate risks
✨lactation support
✨contraception
✨consultation with specialists in pts w/ pregnancy complications
✨virtual visits to manage risk factors
#ACC23/#WCCCardio #CardioNerds
✨re-evaluate risks
✨lactation support
✨contraception
✨consultation with specialists in pts w/ pregnancy complications
✨virtual visits to manage risk factors
#ACC23/#WCCCardio #CardioNerds
9) Optimizing CV health & optimizing windows
🌟need to reduce CV risk factors
#ACC23/#WCCCardio #CardioNerds
🌟need to reduce CV risk factors
#ACC23/#WCCCardio #CardioNerds
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