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2025 ESC Guidelines for the management of cardiovascular disease and pregnancy: Developed by the task force on the management of cardiovascular disease and pregnancy of the European Society of Cardiology (ESC) Endorsed by the European Society of Gynecology (ESG)

  • Julie De Backer (Corresponding Author)
  • , Kristina H Haugaa (Corresponding Author)
  • , Nina Eide Hasselberg
  • , Michèle de Hosson
  • , Margarita Brida
  • , Silvia Castelletti
  • , Matthew Cauldwell
  • , Elisabetta Cerbai
  • , Lia Crotti
  • , Natasja M S de Groot
  • , Mette-Elise Estensen
  • , Eva S Goossens
  • , Bernhard Haring
  • , Donata Kurpas
  • , Carmel M McEniery
  • , Sanne A E Peters
  • , Amina Rakisheva
  • , Antonia Sambola
  • , Oliver Schlager
  • , Florian S Schoenhoff
  • Tommaso Simoncini, Françoise Steinbach, Isabella Sudano, Lorna Swan, Anne Marie Valente, ESC Scientific Document Group, Oskars Kalējs (Member of the Working Group)

Research output: Contribution to journalArticlepeer-review

182 Citations (Scopus)

Abstract

Guidelines evaluate and summarize available evidence with the aim of assisting health professionals in proposing the best diagnostic or therapeutic approach for an individual patient with a given condition. European Society of Cardiology (ESC) Guidelines are intended for use by health professionals but do not override their individual responsibility to make appropriate and accurate decisions in consideration of each patient’s health condition and in consultation with the
patient or the patient’s caregiver where appropriate and/or necessary. It is also the health professional’s responsibility to verify the rules and regulations applicable in each country to drugs and devices at the time of prescription and to respect the ethical rules of their profession.
ESC Guidelines represent the official position of the ESC on a given topic. Guideline topics are selected for updating after annual expert review of new evidence conducted by the ESC Clinical Practice Guidelines (CPG) Committee. European Society of Cardiology Policies and Procedures for formulating and issuing ESC Guidelines can be found on the ESC website (https://www.escardio.org/ Guidelines/Clinical-Practice-Guidelines/Guidelines-development/ Writing-ESC-Guidelines).
This guideline updates and replaces the previous version from 2018. This Task Force was selected by the ESC to include professionals involved with the medical care of patients with this pathology and to include patient representatives and methodologists. The selection procedure included an open call for authors and aimed to include members from across the whole of the ESC region and from relevant ESC Subspecialty Communities. Consideration was given to diversity and inclusion.
Original languageEnglish
Pages (from-to)4462-4568
JournalEuropean Heart Journal
Volume46
Issue number43
DOIs
Publication statusPublished - 14 Nov 2025
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords*

  • Guidelines
  • Pregnancy
  • Cardiovascular disease
  • Heart failure
  • Pregnancy heart team
  • Cardiovascular
  • Adult congenital heart disease
  • Drugs in pregnancy
  • Peripartum cardiomyopathy
  • Risk stratification
  • Cardiomyopathies
  • Genetic counselling
  • Adverse pregnancy outcomes
  • Aortic disease
  • Arrhythmias
  • Hypertensive disorders of pregnancy

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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