S6 Ep. 13: Mama's broken heart, part 1 (Obstetric cardiac disease)

Today's episode is the first of two where we take a close look at a few obstetric case scenarios that deal with major cardiac disease with special guest, Dr Michael Toon. Our first case explores a pregnancy and delivery in a patient with moderate to severe mitral stenoses. We then chase this with a case scenario revolving around a patient with a peripartum cardiomyopathy. In both cases we take a close look at the pathophysiological changes that occur with the disease process as well as its management for imminent delivery. Resources for today's episode: Anaesthetic Care of the Pregnant Patient with Cardiovascular Disease: A Scientific Statement From the American Heart Association by Meng, M.L et al.  (Circulation, 2023) BJAED: Pulmonary arterial hypertension in pregnancy by Kariyawasam. S., and Brown, J. (be sure to seek access through ANZCA or your national anaesthetic college) BJAED: Management of cardiac disease in pregnancy by Burt, C.C. & Durbridge, J. ECS Guidelines: Cardiovascular Diseases During Pregnancy (Management of) Guidelines (this link includes further links to the pocket guidelines app) Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations by Meng, M.L. & Arendt, K.W.  Obstetric anesthesia management of the patient with cardiac disease by Arendt, K.W. & Lindley, K.J. Feel free to email us at [email protected] if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode. Thanks for listening, and happy studying!