{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T02:37:22Z","timestamp":1777775842565,"version":"3.51.4"},"reference-count":8,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2021,11,20]],"date-time":"2021-11-20T00:00:00Z","timestamp":1637366400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.<\/jats:p>","DOI":"10.2478\/rjim-2021-0019","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T08:53:18Z","timestamp":1622105598000},"page":"416-419","source":"Crossref","is-referenced-by-count":0,"title":["Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management"],"prefix":"10.2478","volume":"59","author":[{"given":"Sanoj","family":"Chacko","sequence":"first","affiliation":[{"name":"Heart Rhythm Service, Kingston Health Sciences Centre , Queen\u2019s University , Kingston, Ontario , Canada"},{"name":"Queen Elizabeth Hospital , Mindelsohn Way, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"De Bono","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Mindelsohn Way, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Marshall","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Mindelsohn Way, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumna B.","family":"Haseeb","sequence":"additional","affiliation":[{"name":"Heart Rhythm Service, Kingston Health Sciences Centre , Queen\u2019s University , Kingston, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sohaib","family":"Haseeb","sequence":"additional","affiliation":[{"name":"Heart Rhythm Service, Kingston Health Sciences Centre , Queen\u2019s University , Kingston, Ontario , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Morris","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Mindelsohn Way, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Thorne","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital , Mindelsohn Way, Birmingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2021,11,20]]},"reference":[{"key":"2026042914151755988_j_rjim-2021-0019_ref_001","doi-asserted-by":"crossref","unstructured":"1. LAMEIJER H., SCHUTTE JM., SCHUITEMAKER NWE., van Roosmalen JJM., Pieper PG. Maternal mortality due to cardiovascular disease in the Netherlands: a 21-year experience. Neth Heart J. 2020;28 (1):27\u201336.10.1007\/s12471-019-01340-w","DOI":"10.1007\/s12471-019-01340-w"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_002","doi-asserted-by":"crossref","unstructured":"2. AHMAD WAW., KHANOM M., YAAKOB ZH. Heart failure in pregnancy: an overview. Int J Clin Pract. 2011;65(8):848\u201351.10.1111\/j.1742-1241.2011.02714.x","DOI":"10.1111\/j.1742-1241.2011.02714.x"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_003","doi-asserted-by":"crossref","unstructured":"3. SANGHAVI M., RUTHERFORD JD. Cardiovascular Physiology of Pregnancy. Circulation. 2014;130(12):1003\u20138.10.1161\/CIRCULATIONAHA.114.009029","DOI":"10.1161\/CIRCULATIONAHA.114.009029"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_004","doi-asserted-by":"crossref","unstructured":"4. SAFI LM., TSIARAS SV. Update on Valvular Heart Disease in Pregnancy. Curr Treat Options Cardiovasc Med. 2017;19(9):70.10.1007\/s11936-017-0570-2","DOI":"10.1007\/s11936-017-0570-2"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_005","unstructured":"5. ANTHONY J., SLIWA K. Decompensated Heart Failure in Pregnancy. Card Fail Rev. 2016;2(1):20\u20136.10.15420\/cfr.2015:24:2"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_006","doi-asserted-by":"crossref","unstructured":"6. SLIWA K., HILFIKER-KLEINER D., PETRIE MC., MEBAZAA A., PIESKE B., BUCHMANN E., et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur J Heart Fail. 2010;12(8):767\u201378.10.1093\/eurjhf\/hfq120","DOI":"10.1093\/eurjhf\/hfq120"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_007","unstructured":"7. REGITZ-ZAGROSEK V., ROOS-HESSELINK JW., BAUERSACHS J., BLOMSTR\u00d6M-LUNDQVIST C., C\u00cdFKOV\u00c1 R., DE BONISM., et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165\u2013241.10.1093\/eurheartj\/ehy340"},{"key":"2026042914151755988_j_rjim-2021-0019_ref_008","doi-asserted-by":"crossref","unstructured":"8. NG AT., DUAN L., WIN T., SPENCER HT., LEE MS. Maternal and fetal outcomes in pregnant women with heart failure. Heart. 2018;104(23):1949\u201354.10.1136\/heartjnl-2018-313156","DOI":"10.1136\/heartjnl-2018-313156"}],"container-title":["Romanian Journal of Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/reference-global.com\/pdf\/10.2478\/rjim-2021-0019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T18:16:56Z","timestamp":1777486616000},"score":1,"resource":{"primary":{"URL":"https:\/\/reference-global.com\/article\/10.2478\/rjim-2021-0019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,20]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,11,20]]},"published-print":{"date-parts":[[2021,12,1]]}},"alternative-id":["10.2478\/rjim-2021-0019"],"URL":"https:\/\/doi.org\/10.2478\/rjim-2021-0019","relation":{},"ISSN":["2501-062X"],"issn-type":[{"value":"2501-062X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,20]]}}}