Skip to main content
SpringerLink
Log in

Managing Heart Failure Pre- and Postpartum

  • Chapter
  • First Online:
Book cover Cardiac Drugs in Pregnancy

Part of the book series: Current Cardiovascular Therapy ((CCT))

  • 1272 Accesses

Abstract

Heart failure is the final common pathway of a large spectrum of diseases which can occur in pregnancy or in the immediate postpartum period. The spectrum of cardiovascular diseases (CVD) leading to heart failure in pregnancy and postpartum is changing and differs between regions of the world.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 49.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Autore C, Conte MR, Piccininno M, Bernabo P, Bonfiglio G, Bruzzi P, Spirito P. Risk associated with pregnancy in hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;40:1864–9.

    Article  PubMed  Google Scholar 

  • Baumgartner H, Bonhoeffer P, De Groot NM, de Haan F, Deanfield JE, Galie N, Gatzoulis MA, Gohlke-Baerwolf C, Kaemmerer H, Kilner P, Meijboom F, Mulder BJ, Oechslin E, Oliver JM, Serraf A, Szatmari A, Thaulow E, Vouhe PR, Walma E, Task Force on the Management of Grown-up Congenital Heart Disease of the European Society of, C., Association for European Paediatric, C. & Guidelines, E. S. C. C. f. P. ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J. 2010;31:2915–57.

    Article  PubMed  Google Scholar 

  • Beardmore KS, Morris JM, Gallery ED. Excretion of antihypertensive medication into human breast milk: a systematic review. Hypertens Pregnancy. 2002;21:85–95.

    Article  PubMed  CAS  Google Scholar 

  • Blauwet LA, Libhaber E, Forster O, Tibazarwa K, Mebazaa A, Hilfiker-Kleiner D, Sliwa K. Predictors of outcome in 176 South African patients with peripartum cardiomyopathy. Heart. 2013;99:308–13.

    Article  PubMed  CAS  Google Scholar 

  • Brenner B. Haemostatic changes in pregnancy. Thromb Res. 2004;114:409–14.

    Article  PubMed  CAS  Google Scholar 

  • Bullo M, Tschumi S, Bucher BS, Bianchetti MG, Simonetti GD. Pregnancy outcome following exposure to angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists: a systematic review. Hypertension. 2012;60:444–50.

    Article  PubMed  CAS  Google Scholar 

  • Cooper WO, Hernandez-Diaz S, Arbogast PG, Dudley JA, Dyer S, Gideon PS, Hall K, Ray WA. Major congenital malformations after first-trimester exposure to ACE inhibitors. N Engl J Med. 2006;354:2443–51.

    Article  PubMed  CAS  Google Scholar 

  • Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, Stromberg A, van Veldhuisen DJ, Atar D, Hoes AW, Keren A, Mebazaa A, Nieminen M, Priori SG, Swedberg K, Vahanian A, Camm J, De Caterina R, Dean V, Dickstein K, Filippatos G, Funck-Brentano C, Hellemans I, Kristensen SD, McGregor K, Sechtem U, Silber S, Tendera M, Widimsky P, Zamorano JL, Tendera M, Auricchio A, Bax J, Bohm M, Corra U, della Bella P, Elliott PM, Follath F, Gheorghiade M, Hasin Y, Hernborg A, Jaarsma T, Komajda M, Kornowski R, Piepoli M, Prendergast B, Tavazzi L, Vachiery JL, Verheugt FW, Zamorano JL, Zannad F. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail. 2008;10:933–89.

    Article  PubMed  Google Scholar 

  • Gaziano JM, Cincotta AH, O'Connor CM, Ezrokhi M, Rutty D, Ma ZJ, Scranton RE. Randomized clinical trial of quick-release bromocriptine among patients with type 2 diabetes on overall safety and cardiovascular outcomes. Diabetes Care. 2010;33:1503–8.

    Article  PubMed  CAS  Google Scholar 

  • Gheorghiade M, Follath F, Ponikowski P, Barsuk JH, Blair JE, Cleland JG, Dickstein K, Drazner MH, Fonarow GC, Jaarsma T, Jondeau G, Sendon JL, Mebazaa A, Metra M, Nieminen M, Pang PS, Seferovic P, Stevenson LW, van Veldhuisen DJ, Zannad F, Anker SD, Rhodes A, McMurray JJ, Filippatos G. Assessing and grading congestion in acute heart failure: a scientific statement from the acute heart failure committee of the heart failure association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine. Eur J Heart Fail. 2010;12:423–33.

    Article  PubMed  Google Scholar 

  • Grewal J, Siu SC, Ross HJ, Mason J, Balint OH, Sermer M, Colman JM, Silversides CK. Pregnancy outcomes in women with dilated cardiomyopathy. J Am Coll Cardiol. 2009;55:45–52.

    Article  PubMed  Google Scholar 

  • Hilfiker-Kleiner D, Kaminski K, Podewski E, Bonda T, Schaefer A, Sliwa K, Forster O, Quint A, Landmesser U, Doerries C, Luchtefeld M, Poli V, Schneider MD, Balligand JL, Desjardins F, Ansari A, Struman I, Nguyen NQ, Zschemisch NH, Klein G, Heusch G, Schulz R, Hilfiker A, Drexler H. A cathepsin D-cleaved 16 kDa form of prolactin mediates postpartum cardiomyopathy. Cell. 2007a;128:589–600.

    Article  PubMed  CAS  Google Scholar 

  • Hilfiker-Kleiner D, Meyer GP, Schieffer E, Goldmann B, Podewski E, Struman I, Fischer P, Drexler H. Recovery from postpartum cardiomyopathy in 2 patients by blocking prolactin release with bromocriptine. J Am Coll Cardiol. 2007b;50:2354–5.

    Article  PubMed  Google Scholar 

  • Hilfiker-Kleiner D, Struman I, Hoch M, Podewski E, Sliwa K. 16-kDa prolactin and bromocriptine in postpartum cardiomyopathy. Curr Heart Fail Rep. 2012;9:174–82.

    Article  PubMed  CAS  Google Scholar 

  • Hopp L, Haider B, Iffy L. Myocardial infarction postpartum in patients taking bromocriptine for the prevention of breast engorgement. Int J Cardiol. 1996;57:227–32.

    Article  PubMed  CAS  Google Scholar 

  • Meidahl Petersen K, Jiminez-Soilem E, Traerup Andersen J, Petersen M, Brodbaek K, Torp-Pedersen C, Poulsen H. Beta-blocker treatment during pregnancy and adverse pregnancy outcomes: a nation-wide population-based cohort study. BMJ Open. 2012;2(4):pii: e001185. doi:10.1136/bmjopen-2012-001185.

    Article  Google Scholar 

  • Mirshahi M, Ayani E, Nicolas C, Golestaneh N, Ferrari P, Valamanesh F, Agarwal MK. The blockade of mineralocorticoid hormone signaling provokes dramatic teratogenesis in cultured rat embryos. Int J Toxicol. 2002;21:191–9.

    Article  PubMed  CAS  Google Scholar 

  • Nqayana T, Moodley J, Naidoo DP. Cardiac disease in pregnancy. Cardiovasc J Afr. 2008;19:145–51.

    PubMed  CAS  Google Scholar 

  • Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, Cifkova R, Ferreira R, Foidart JM, Gibbs JS, Gohlke-Baerwolf C, Gorenek B, Iung B, Kirby M, Maas AH, Morais J, Nihoyannopoulos P, Pieper PG, Presbitero P, Roos-Hesselink JW, Schaufelberger M, Seeland U, Torracca L, Bax J, Auricchio A, Baumgartner H, Ceconi C, Dean V, Deaton C, Fagard R, Funck-Brentano C, Hasdai D, Hoes A, Knuuti J, Kolh P, McDonagh T, Moulin C, Poldermans D, Popescu BA, Reiner Z, Sechtem U, Sirnes PA, Torbicki A, Vahanian A, Windecker S, Aguiar C, Al-Attar N, Garcia AA, Antoniou A, Coman I, Elkayam U, Gomez-Sanchez MA, Gotcheva N, Hilfiker-Kleiner D, Kiss RG, Kitsiou A, Konings KT, Lip GY, Manolis A, Mebaaza A, Mintale I, Morice MC, Mulder BJ, Pasquet A, Price S, Priori SG, Salvador MJ, Shotan A, Silversides CK, Skouby SO, Stein JI, Tornos P, Vejlstrup N, Walker F, Warnes C. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011;32:3147–97.

    Article  PubMed  Google Scholar 

  • Roos-Hesselink JW, Ruys TP, Stein JI, Thilen U, Webb GD, Niwa K, Kaemmerer H, Baumgartner H, Budts W, Maggioni AP, Tavazzi L, Taha N, Johnson MR, Hall R, Investigators R. Outcome of pregnancy in patients with structural or ischaemic heart disease: results of a registry of the European Society of Cardiology. Eur Heart J. 2013;34:657–65.

    Article  PubMed  Google Scholar 

  • Sliwa K, Fett J, Elkayam U. Peripartum cardiomyopathy. Lancet. 2006a;368:687–93.

    Article  PubMed  Google Scholar 

  • Sliwa K, Forster O, Libhaber E, Fett JD, Sundstrom JB, Hilfiker-Kleiner D, Ansari AA. Peripartum cardiomyopathy: inflammatory markers as predictors of outcome in 100 prospectively studied patients. Eur Heart J. 2006b;27:441–6.

    Article  PubMed  CAS  Google Scholar 

  • Sliwa K, Blauwet L, Tibazarwa K, Libhaber E, Smedema JP, Becker A, McMurray J, Yamac H, Labidi S, Struhman I, Hilfiker-Kleiner D. Evaluation of bromocriptine in the treatment of acute severe peripartum cardiomyopathy: a proof-of-concept pilot study. Circulation. 2010a;121:1465–73.

    Article  PubMed  CAS  Google Scholar 

  • Sliwa K, Hilfiker-Kleiner D, Petrie M, Mebazaa A, Pieske B, Buchmann E, Regitz-Zagrosek V, Schaufelberger M, Tavazzi B, van Veldhuisen DJ, Watkins H, Shah AJ, Seferovic PM, Elkayam U, Pankuweit S, Papp Z, Mouquet F, McMurray J. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on Peripartum Cardiomyopathy. Eur Heart J. 2010b;12:767–78.

    Article  Google Scholar 

  • Soma-Pillay P, MacDonald AP, Mathivha TM, Bakker JL, Mackintosh MO. Cardiac disease in pregnancy: a 4-year audit at Pretoria Academic Hospital. S Afr Med J. 2008;98:553–6.

    PubMed  CAS  Google Scholar 

  • Spirito P, Autore C. Management of hypertrophic cardiomyopathy. BMJ. 2006;332:1251–5.

    Article  PubMed  Google Scholar 

  • Walenta K, Schwarz V, Schirmer S, Kindemann I, Friedrich E, Solomayer E, Sliwa K, Labidi S, Hilfiker-Kleiner D, Bohm M. Circulating microparticles as indicators of peripartum cardiomyopathy. Eur Heart J. 2012;33(12):1469–79.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medicine, Faculty of Health Sciences, Hatter Institute for Cardiovascular Research in Africa, Groote Schuur Hospital & University of Cape Town, Observatory, Cape Town, 7925, South Africa

    Karen Sliwa MD, PhD, FESC, FACC & Kemilembe B. Tibazarwa MD, MPH

  2. Soweto Cardiovascular Research Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa

    Karen Sliwa MD, PhD, FESC, FACC & Kemilembe B. Tibazarwa MD, MPH

Authors
  1. Karen Sliwa MD, PhD, FESC, FACC
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kemilembe B. Tibazarwa MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karen Sliwa MD, PhD, FESC, FACC .

Editor information

Editors and Affiliations

  1. Hatter Institute for Cardiovascular Research, Cape Town, Western Cape, South Africa

    Karen Sliwa

  2. Department of Obstetrics & Gynaecology, Groote Schuur Hospital, Cape Town, South Africa

    John Anthony

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Sliwa, K., Tibazarwa, K.B. (2014). Managing Heart Failure Pre- and Postpartum. In: Sliwa, K., Anthony, J. (eds) Cardiac Drugs in Pregnancy. Current Cardiovascular Therapy. Springer, London. https://doi.org/10.1007/978-1-4471-5472-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5472-3_3

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5471-6

  • Online ISBN: 978-1-4471-5472-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation