Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 101

Cardiovascular disease complicates approximately 1–4% of all pregnancies and remains the leading cause of maternal death in the Western World [1,2]. The Registry of Pregnancy and Cardiac Disease (ROPAC) recognizes that structural heart disease significantly increases maternal morbidity and mortality [3]. Preexisting cardiovascular disease may deteriorate as a result of increased cardiac workload during pregnancy, and previously undiagnosed cardiac disease may be unmasked. In addition, there is an increasing cohort of older women with multiple cardiac risk factors wishing to receive fertility treatment. These women should be counseled prior to conception by a cardiologist, an obstetric physician or a high‐risk obstetrician [1].