PMID- 35141125
OWN - NLM
STAT- MEDLINE
DCOM- 20220228
LR  - 20231108
IS  - 2211-8179 (Electronic)
IS  - 2211-8160 (Print)
IS  - 2211-8160 (Linking)
VI  - 16
IP  - 1
DP  - 2021
TI  - Rheumatic Heart Disease in Pregnancy: New Strategies for an Old Disease?
PG  - 84
LID - 10.5334/gh.1079 [doi]
LID - 84
AB  - RHD in pregnancy (RHD-P) is associated with an increased burden of maternal and 
      perinatal morbidity and mortality. A sequellae of rheumatic fever resulting in 
      heart valve damage if untreated, RHD is twice as common in women. In providing an 
      historical overview, this commentary provides context for prevention and 
      treatment in the 21 st century. Four underlying themes inform much of the 
      literature on RHD-P: its association with inequities; often-complex care 
      requirements; demands for integrated care models, and a life-course approach. 
      While there have been some gains particularly in awareness, strengthened policies 
      and funding strategies are required to sustain improvements in the RHD landscape 
      and consequently improve outcomes. As the principal heart disease seen in 
      pregnant women in endemic regions, it is unlikely that the Sustainable 
      Development Goal 3 target of reduced global maternal mortality ratio can be met 
      by 2030 if RHD is not better addressed for women and girls.
CI  - Copyright: (c) 2021 The Author(s).
FAU - Vaughan, Geraldine
AU  - Vaughan G
AD  - Central Queensland University, AU.
FAU - Dawson, Angela
AU  - Dawson A
AD  - Central Queensland University, AU.
FAU - Peek, Michael
AU  - Peek M
AD  - Central Queensland University, AU.
FAU - Sliwa, Karen
AU  - Sliwa K
AD  - Central Queensland University, AU.
FAU - Carapetis, Jonathan
AU  - Carapetis J
AD  - Central Queensland University, AU.
FAU - Wade, Vicki
AU  - Wade V
AD  - Central Queensland University, AU.
FAU - Sullivan, Elizabeth
AU  - Sullivan E
AD  - Central Queensland University, AU.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20211220
PL  - England
TA  - Glob Heart
JT  - Global heart
JID - 101584391
SB  - IM
MH  - Female
MH  - Humans
MH  - Pregnancy
MH  - *Rheumatic Fever/therapy
MH  - *Rheumatic Heart Disease/prevention & control/therapy
PMC - PMC8698226
OTO - NOTNLM
OT  - First Nation peoples
OT  - Inequity
OT  - Pregnancy
OT  - Rheumatic heart disease
COIS- The authors have no competing interests to declare.
EDAT- 2022/02/11 06:00
MHDA- 2022/03/01 06:00
PMCR- 2021/12/20
CRDT- 2022/02/10 05:38
PHST- 2021/09/30 00:00 [received]
PHST- 2021/09/30 00:00 [accepted]
PHST- 2022/02/10 05:38 [entrez]
PHST- 2022/02/11 06:00 [pubmed]
PHST- 2022/03/01 06:00 [medline]
PHST- 2021/12/20 00:00 [pmc-release]
AID - 10.5334/gh.1079 [doi]
PST - epublish
SO  - Glob Heart. 2021 Dec 20;16(1):84. doi: 10.5334/gh.1079. eCollection 2021.