Peripartum Cardiogenic Shock and Mechanical Circulatory Support

Despite remarkable improvements in the past two decades, the annual cardiovascular mortality rate has remained higher for women than for men. Pregnant women represent an underinvestigated population in clinical research, and the mechanisms of long-term cardiovascular complications in women with obst...

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Main Authors: Giulia Botti, Sharmaine Thirunavukarasu, Francesca Ziviello, Alaide Chieffo
Format: Article
Language:English
Published: Radcliffe Medical Media 2023-11-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articleindex/icr.2020.09
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author Giulia Botti
Sharmaine Thirunavukarasu
Francesca Ziviello
Alaide Chieffo
author_facet Giulia Botti
Sharmaine Thirunavukarasu
Francesca Ziviello
Alaide Chieffo
author_sort Giulia Botti
collection DOAJ
description Despite remarkable improvements in the past two decades, the annual cardiovascular mortality rate has remained higher for women than for men. Pregnant women represent an underinvestigated population in clinical research, and the mechanisms of long-term cardiovascular complications in women with obstetric complications remain to be elucidated. Regarding advanced heart failure during pregnancy, interventional approaches are effective but still underutilised. Percutaneous mechanical circulatory support is a valuable option for peripartum cardiogenic shock, although its use during pregnancy is still limited. Survival rates have improved in recent years, but further emphasis on the importance of early recognition and initiation of heart failure treatment in this patient group is warranted. The aims of this review are to summarise the current literature on the implementation of mechanical circulatory support in cardiogenic shock during pregnancy and delivery and to understand the role of percutaneous ventricular assist devices in the management of such conditions.
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institution OA Journals
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1756-1485
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publishDate 2023-11-01
publisher Radcliffe Medical Media
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series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-70ce3a6a8df64b72a616b7b57442f16c2025-08-20T01:56:41ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852023-11-011810.15420/icr.2020.09Peripartum Cardiogenic Shock and Mechanical Circulatory SupportGiulia Botti0Sharmaine Thirunavukarasu1Francesca Ziviello2Alaide Chieffo3Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita Salute San Raffaele University, Milan, ItalyLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UKInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, ItalyInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita Salute San Raffaele University, Milan, ItalyDespite remarkable improvements in the past two decades, the annual cardiovascular mortality rate has remained higher for women than for men. Pregnant women represent an underinvestigated population in clinical research, and the mechanisms of long-term cardiovascular complications in women with obstetric complications remain to be elucidated. Regarding advanced heart failure during pregnancy, interventional approaches are effective but still underutilised. Percutaneous mechanical circulatory support is a valuable option for peripartum cardiogenic shock, although its use during pregnancy is still limited. Survival rates have improved in recent years, but further emphasis on the importance of early recognition and initiation of heart failure treatment in this patient group is warranted. The aims of this review are to summarise the current literature on the implementation of mechanical circulatory support in cardiogenic shock during pregnancy and delivery and to understand the role of percutaneous ventricular assist devices in the management of such conditions.https://www.icrjournal.com/articleindex/icr.2020.09
spellingShingle Giulia Botti
Sharmaine Thirunavukarasu
Francesca Ziviello
Alaide Chieffo
Peripartum Cardiogenic Shock and Mechanical Circulatory Support
Interventional Cardiology: Reviews, Research, Resources
title Peripartum Cardiogenic Shock and Mechanical Circulatory Support
title_full Peripartum Cardiogenic Shock and Mechanical Circulatory Support
title_fullStr Peripartum Cardiogenic Shock and Mechanical Circulatory Support
title_full_unstemmed Peripartum Cardiogenic Shock and Mechanical Circulatory Support
title_short Peripartum Cardiogenic Shock and Mechanical Circulatory Support
title_sort peripartum cardiogenic shock and mechanical circulatory support
url https://www.icrjournal.com/articleindex/icr.2020.09
work_keys_str_mv AT giuliabotti peripartumcardiogenicshockandmechanicalcirculatorysupport
AT sharmainethirunavukarasu peripartumcardiogenicshockandmechanicalcirculatorysupport
AT francescaziviello peripartumcardiogenicshockandmechanicalcirculatorysupport
AT alaidechieffo peripartumcardiogenicshockandmechanicalcirculatorysupport