Bridging gaps: The urgent call for cardio-obstetrics as a subspecialty in India

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian heart journal Pub Date : 2024-03-01 DOI:10.1016/j.ihj.2024.03.003

Justin Paul Gnanaraj , Steaphen Anne Princy

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引用次数: 0

Abstract

Cardiovascular disease complicates 1–4% of pregnancies. Women with heart disease going through pregnancy are on the increase. While global maternal deaths during pregnancy are decreasing, India remains a significant contributor to maternal deaths in the world. Cardiovascular disease during pregnancy is the leading cause of maternal mortality in developed nations, and this trend is expected soon in India, with the ongoing obstetric transition.

Research in developed nations indicates that a high proportion of maternal mortality related to heart disease is preventable. However, India lacks indigenous data, risk stratification tools, management guidelines, and a well-defined cardio-obstetric team concept for pregnant women with heart disease.

There is a pressing need to establish national registries, develop risk stratification tools, develop and disseminate management guidelines, and create dedicated cardio-obstetric programs. This article provides a comprehensive overview of this requirement and offers solutions to bridge the existing gaps in India's maternal healthcare landscape.

查看原文本刊更多论文

缩小差距：印度迫切需要心外科产科成为一个亚专科。

1-4% 的妊娠会并发心血管疾病。患有心脏病的孕期妇女正在增加。虽然全球孕产妇在怀孕期间的死亡人数正在减少，但印度仍然是世界上孕产妇死亡的一个重要原因。在发达国家，妊娠期心血管疾病是导致孕产妇死亡的主要原因，而随着产科转型的进行，这一趋势预计很快也会在印度出现。发达国家的研究表明，很大一部分与心脏病有关的孕产妇死亡是可以预防的。然而，印度缺乏针对心脏病孕妇的本地数据、风险分层工具、管理指南和定义明确的心外科-产科团队概念。当务之急是建立国家登记册、开发风险分层工具、制定和传播管理指南，以及创建专门的心外科-产科项目。本文对这一需求进行了全面概述，并提出了缩小印度孕产妇医疗保健领域现有差距的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

52 days

期刊介绍： Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.