Maternal-Fetal Medicine (Jan 2021)

The Pregnancy Heart Team Approach for the Adult with Hypertrophic Cardiomyopathy and Severe Left Ventricular Outflow Tract Obstruction

  • Sihong Huang,
  • Bennett P. Samuel,
  • Marcos Cordoba,
  • Vivian C. Romero,
  • Laurie Chalifoux,
  • David R. Fermin,
  • Stephen C. Cook,
  • Yang Pan

DOI
https://doi.org/10.1097/FM9.0000000000000083
Journal volume & issue
Vol. 3, no. 1
pp. 71 – 74

Abstract

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Abstract. Hypertrophic cardiomyopathy (HCM), the most common single-gene cardiovascular disease, is associated with increased risk for arrhythmias, heart failure, and sudden cardiac death. The hemodynamic changes known to occur during pregnancy can exacerbate heart failure and arrhythmias in women with HCM. We present a 30-year-old woman with HCM to illustrate the benefits of multidisciplinary team management of severe left ventricular outflow tract obstruction (peak gradient >100 mmHg) for optimal maternal and fetal outcomes.