{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T20:00:30Z","timestamp":1787083230861,"version":"build-2736575974"},"reference-count":0,"publisher":"Radcliffe Medical Media Ltd","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Heart disease is a common cause of morbidity and mortality during pregnancy. Symptoms and signs of heart failure in a pregnant woman are an indication for urgent assessment to establish a diagnosis and appropriate management. This is best accomplished through a multidisciplinary approach in which both cardiologists and obstetricians need to participate in order to provide expert counselling and care in pursuit of safe motherhood. Congenital heart disease, although common, once corrected is an unusual source of complications, which are more likely to develop as a consequence of ventricular failure, pulmonary hypertension and aortic arch disease. Rheumatic valvular heart disease is a challenge because of the need for anticoagulation during pregnancy and the risk of sepsis associated with childbirth. This review outlines a contemporary approach to heart failure presenting during pregnancy.<\/jats:p>","DOI":"10.15420\/cfr.2015:24:2","type":"journal-article","created":{"date-parts":[[2016,6,7]],"date-time":"2016-06-07T15:27:45Z","timestamp":1465313265000},"page":"20","source":"Crossref","is-referenced-by-count":40,"title":["Decompensated Heart Failure in Pregnancy"],"prefix":"10.15420","volume":"2","author":[{"given":"Karen","family":"Sliwa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Anthony","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Soweto Cardiovascular Research Group University of the Witwatersrand, South Africa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Division of Obstetrics and Gynaecology Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","container-title":["Cardiac Failure Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cfrjournal.com\/articleindex\/cfr.2015:24:2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T13:53:53Z","timestamp":1623333233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cfrjournal.com\/articleindex\/cfr.2015:24:2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016]]}},"alternative-id":["cfr.2015:24:2"],"URL":"https:\/\/doi.org\/10.15420\/cfr.2015:24:2","relation":{},"ISSN":["2057-7540"],"issn-type":[{"value":"2057-7540","type":"print"}],"subject":[],"published":{"date-parts":[[2016]]}}}