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At the Heart of the Pregnancy: What Prenatal and Cardiovascular Genetic Counselors Need to Know about Maternal Heart Disease

dc.contributor.authorMorales, Ana
dc.contributor.authorAllain, Dawn C.
dc.contributor.authorArscott, Patricia
dc.contributor.authorJames, Emily
dc.contributor.authorMacCarrick, Gretchen
dc.contributor.authorMurray, Brittney
dc.contributor.authorTichnell, Crystal
dc.contributor.authorShikany, Amy R.
dc.contributor.authorSpencer, Sara
dc.contributor.authorFitzgerald‐butt, Sara M.
dc.contributor.authorKushner, Jessica D.
dc.contributor.authorMunn, Christi
dc.contributor.authorSmith, Emily
dc.contributor.authorSpoonamore, Katherine G.
dc.contributor.authorTandri, Harikrishna S.
dc.contributor.authorKay, W. Aaron
dc.date.accessioned2019-01-15T20:29:10Z
dc.date.available2019-01-15T20:29:10Z
dc.date.issued2017-08
dc.identifier.citationMorales, Ana; Allain, Dawn C.; Arscott, Patricia; James, Emily; MacCarrick, Gretchen; Murray, Brittney; Tichnell, Crystal; Shikany, Amy R.; Spencer, Sara; Fitzgerald‐butt, Sara M. ; Kushner, Jessica D.; Munn, Christi; Smith, Emily; Spoonamore, Katherine G.; Tandri, Harikrishna S.; Kay, W. Aaron (2017). "At the Heart of the Pregnancy: What Prenatal and Cardiovascular Genetic Counselors Need to Know about Maternal Heart Disease." Journal of Genetic Counseling 26(4): 669-688.
dc.identifier.issn1059-7700
dc.identifier.issn1573-3599
dc.identifier.urihttps://hdl.handle.net/2027.42/147071
dc.description.abstractIn the last decade, an increasing number of cardiac conditions have been shown to have a genetic basis. Cardiovascular genetic counseling has emerged as a subspecialty aiming to identify unaffected atâ risk individuals. An important sector of this atâ risk population also includes expectant mothers, in whom unique clinical challenges may arise. Genetic counselors, especially those in cardiovascular and prenatal settings, have an opportunity to identify and assist women who may benefit from cardiovascular care during pregnancy. This paper provides basic management and genetic evaluation principles for affected women, as well as guidance on identifying those who are at risk. We provide considerations for cardiac surveillance in pregnancy and the postâ partum period. Finally, key psychosocial issues that appraise how to best provide support to at risk women as they make informed decisions are discussed. We propose that a team approach including cardiology, maternal fetal medicine, and genetic counseling best serves this patient population. Ongoing questions addressing an evidence based approach to cardiovascular genetic conditions in pregnancy still remain. Thus, wellâ designed research protocols are essential to mark progress in this area.
dc.publisherSpringer US
dc.publisherWiley Periodicals, Inc.
dc.subject.otherConnective tissue disorders
dc.subject.otherCongenital heart defects
dc.subject.otherCoronary artery disease
dc.subject.otherPregnancy
dc.subject.otherPostâ partum
dc.subject.otherCardiovascular genetics
dc.subject.otherPrenatal genetics
dc.subject.otherCardiomyopathy
dc.subject.otherChannelopathy
dc.subject.otherAortopathy
dc.titleAt the Heart of the Pregnancy: What Prenatal and Cardiovascular Genetic Counselors Need to Know about Maternal Heart Disease
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHuman Genetics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/147071/1/jgc40669.pdf
dc.identifier.doi10.1007/s10897-017-0081-z
dc.identifier.sourceJournal of Genetic Counseling
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