Cardiogenic Shock, Valvular Disease, and PE in Pregnancy-Valvular Heart Disease Intervention During Pregnancy

Video Transcription

Video Summary

In this video, Dr. Mark Sintek, an assistant professor of interventional cardiology at Washington University in St. Louis, discusses valvular heart disease and its impact on pregnancy outcomes. He begins by highlighting the epidemiology of valvular heart disease, focusing on aortic stenosis and mitral stenosis. He explains that calcific aortic valve disease is common in older populations, while degenerative mitral valve disease affects people as they age and is more prevalent than aortic valve disease. Rheumatic heart disease, which is more prevalent in countries with lower socioeconomic status, poses poor outcomes during pregnancy. Dr. Sintek also discusses the management options for pregnant women with valve disease, including valvuloplasty and transcatheter aortic valve replacement (TAVR). He presents two cases, one involving aortic valve disease and the other involving rheumatic mitral stenosis, and discusses the appropriate management strategies for each case. He concludes by emphasizing the importance of teamwork, thorough planning, and having backup plans in place when treating pregnant women with valvular heart disease.

Asset Subtitle

Marc Sintek, MD

Keywords

valvular heart disease

pregnancy outcomes

aortic stenosis

mitral stenosis

rheumatic heart disease

management options