2025 ESC Guidelines for the management of cardiovascular disease and pregnancy
Overview
Paper Summary
These guidelines provide updated recommendations for managing cardiovascular disease in pregnancy, emphasizing the role of a multidisciplinary Pregnancy Heart Team and individualized care. Many recommendations are consensus-based due to limited randomized trials. They address various cardiac conditions, medications, risk assessment, and long-term post-partum care.
Explain Like I'm Five
These guidelines advise healthcare professionals on managing cardiovascular problems in pregnant women. They highlight the importance of a dedicated care team and outline recommendations for diagnosis, treatment, medication, and post-partum care.
Possible Conflicts of Interest
The guidelines were funded entirely by the European Society of Cardiology (ESC) with no involvement of the healthcare industry. All task force members submitted declarations of interest, available in a supplementary document, but no critical conflicts are immediately apparent.
Identified Limitations
Rating Explanation
These guidelines provide a comprehensive and valuable update for healthcare professionals managing cardiovascular issues in pregnant women. While the recommendations are predominantly consensus-based due to limited high-quality evidence, the guidelines integrate the latest research and clinical experience, offering a structured approach to care across various cardiac conditions and stages of pregnancy. The guidelines also appropriately address limitations and emphasize the need for future research.
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