Cardiogenic Shock in Pregnancy

  • Sourya Acharya


Cardiogenic shock in pregnancy is a life-threatening medical condition resulting from an inadequate circulation of blood due to primary failure of the ventricles of the heart to function effectively. Valvular heart disease, pulmonary and amniotic fluid embolism and cardiomyopathy are main causes of cardiogenic shock in pregnancy. The multidisciplinary team approach, search for underlying cause, intensive cardiac monitoring and care-planned delivery of fetus reduce both maternal and fetal morbidity and mortality.


Pulmonary Embolism Mean Arterial Pressure Deep Venous Thrombosis Atrial Natriuretic Peptide Cardiogenic Shock 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Lund CJ, Donovan JC. Blood volume during pregnancy. Significance of plasma and red cell volumes. Am J Obstet Gynecol. 1967;98(3):394–403.PubMedGoogle Scholar
  2. 2.
    Wilson M, Morganti AA, Zervoudakis I, et al. Blood pressure, the renin-aldosterone system and sex steroids throughout normal pregnancy. Am J Med. 1980;68(1):97–104.CrossRefPubMedGoogle Scholar
  3. 3.
    Lees MM, Taylor SH, Scott DB, Kerr MG. A study of cardiac output at rest throughout pregnancy. J Obstet Gynaecol Br Commonw. 1967;74(3):319–28.CrossRefPubMedGoogle Scholar
  4. 4.
    Katz R, Karliner JS, Resnik R. Effects of a natural volume overload state (pregnancy) on left ventricular performance in normal human subjects. Circulation. 1978;58(3):434–41.CrossRefPubMedGoogle Scholar
  5. 5.
    Bieniarz J, Maqueda E, Caldeyro-Barcia R. Compression of aorta by the uterus in late human pregnancy. I. Variations between femoral and brachial artery pressure with changes from hypertension to hypotension. Am J Obstet Gynecol. 1966;95(6):795–808.PubMedGoogle Scholar
  6. 6.
    Robson SC, Dunlop W, Boys RJ, Hunter S. Cardiac output during labour. Br Med J (Clin Res Ed). 1987;295(6607):1169–72.CrossRefGoogle Scholar
  7. 7.
    Maternal collapse in pregnancy and the puerperium. RCOG Green-top Guideline No. 56. 9–10 Jan 2011.Google Scholar
  8. 8.
    Resuscitation Council (UK). Resuscitation guidelines, 2013.Google Scholar
  9. 9.
    Hibbard JU. Update on medical disorders in pregnancy. Obstet Gynaecol Clin. 2010;37(2).Google Scholar
  10. 10.
    Soar J, Deakin CD, Nolan JP, Abbas G, Alfonzo A, Handley AJ, European Resuscitation Council, et al. European Resuscitation Council Guidelines for Resuscitation 2005. Section 7. Cardiac arrest in special circumstances. Resuscitation. 2005;67 Suppl 1:S135–70.CrossRefPubMedGoogle Scholar
  11. 11.
    Amniotic fluid embolism. Amniotic fluid embolism (Initial draft 3-1-13). 2014.
  12. 12.
    de Swiet M. Management of pulmonary embolus in pregnancy. Eur Heart J. 1999;20:1378–85. Article No. euhj.1999.1584.CrossRefPubMedGoogle Scholar
  13. 13.
    Marik PE. Venous thromboembolic disease and pregnancy. N Engl J Med. 2008;359:19.
  14. 14.
    Leonhardt G. Thrombolytic therapy in pregnancy. J Thromb Thrombolysis. 2006;21(3):271–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Maternal collapse in pregnancy and the puerperium. RCOG Green-top Guideline No. 56. 11–12 Jan 2011.Google Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of MedicineDMIMS(DU)WardhaIndia

Personalised recommendations