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<p>Cardiovascular diseases are the leading indirect cause of maternal deaths during pregnancy and the postpartum period. In August 2025, the updated guidelines of the European Society of Cardiology (ESC) for the management of cardiovascular diseases in pregnancy were published. These guidelines replace the 2018 version and mark a&#xa0;paradigm shift towards patient-centered, interdisciplinary management. The focus is on a&#xa0;fundamental risk assessment using the mWHO Classification&#xa0;2.0, combined with the comprehensive, integrated involvement of the pregnancy-heart team from preconception through the postpartum period and long-term care. The newly updated guidelines include various clearly defined case scenarios on chest pain, hypertension and other conditions to provide clear recommendations for everyday practice. A&#xa0;new chapter on adverse pregnancy events has been added to highlight how important medical support is for women even after pregnancy.</p>

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Behandlung von kardiovaskulären Erkrankungen in der Schwangerschaft – DGK-Kommentar zu den Leitlinien der ESC (2025)

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月22日

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  • Bernhard Haring,
  • Insa E. Emrich,
  • Jana Boer,
  • Sebastian Feickert,
  • Ingo Dähnert,
  • Ulrich Kintscher,
  • Stephanie Wallwiener,
  • Waltraut M. Merz,
  • Julinda Mehilli,
  • Ute Seeland,
  • Johann Bauersachs

摘要

Cardiovascular diseases are the leading indirect cause of maternal deaths during pregnancy and the postpartum period. In August 2025, the updated guidelines of the European Society of Cardiology (ESC) for the management of cardiovascular diseases in pregnancy were published. These guidelines replace the 2018 version and mark a paradigm shift towards patient-centered, interdisciplinary management. The focus is on a fundamental risk assessment using the mWHO Classification 2.0, combined with the comprehensive, integrated involvement of the pregnancy-heart team from preconception through the postpartum period and long-term care. The newly updated guidelines include various clearly defined case scenarios on chest pain, hypertension and other conditions to provide clear recommendations for everyday practice. A new chapter on adverse pregnancy events has been added to highlight how important medical support is for women even after pregnancy.