Document Type
Article
Publication Date
7-16-2025
Publication Title
Biomedicines
Abstract
Cardiac disease remains a leading cause of maternal morbidity and mortality, particularly in developed countries where improved survival has increased the number of pregnant patients with congenital heart disease. The physiological changes of pregnancy, such as increased blood volume, cardiac output, and hypercoagulability, can exacerbate preexisting cardiac conditions, posing significant anesthetic challenges during cesarean delivery. This review outlines anesthetic strategies for parturients with structural or functional cardiac disease, emphasizing individualized, multidisciplinary care. We examine general and regional anesthesia approaches, intraoperative monitoring, and hemodynamic goals, including fluid balance, venous return optimization, and myocardial oxygen demand reduction. Preoperative risk stratification and coordination with cardiology and obstetric teams are essential. Future efforts should aim to standardize protocols and improve maternal–fetal outcomes through evidence-based anesthetic planning.
PubMed ID
40722806
Volume
13
Issue
7
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Ahmadzadeh, Shahab; Duplechin, Drake P.; Bailey, Paris D.; Duplechan, Dillon T.; Enache, Alexia J.; Moore, Peyton; and Shekoohi, Sahar, "Anesthetic Management for Delivery in Parturients with Heart Disease: A Narrative Review" (2025). School of Medicine Faculty Publications. 3928.
https://digitalscholar.lsuhsc.edu/som_facpubs/3928
10.3390/biomedicines13071736
Included in
Anesthesiology Commons, Cardiovascular Diseases Commons, Maternal and Child Health Commons, Reproductive and Urinary Physiology Commons