<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202024000101301</article-id>
<article-id pub-id-type="doi">10.29277/cardio.39.1.9</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo en pacientes con cardiopatía. Definiciones, fisiopatología y estratificación de riesgo]]></article-title>
<article-title xml:lang="en"><![CDATA[Pregnancy in patients with heart diseases. Definitions, pathophysiology and risk stratification]]></article-title>
<article-title xml:lang="pt"><![CDATA[Gravidez em pacientes com doenças cardíacas. Definições, fisiopatologia e estratificação de risco]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zubiaurre]]></surname>
<given-names><![CDATA[Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[Valeria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oholeguy]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Illescas]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Clínicas Dr. Manuel Quintela Unidad de Medicina Materno-Fetal ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202024000101301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202024000101301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202024000101301&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La cardiopatía congénita es la afección cardíaca más frecuente que complica los embarazos en los países desarrollados. A su vez, los cambios en el estilo de vida, la mayor edad materna asociada a factores de riesgo cardiovasculares propios de la edad como hipertensión, diabetes y obesidad hace que aumente también la incidencia de enfermedades cardíacas adquiridas. Los cambios fisiológicos normales del embarazo pueden agravar cardiopatías preexistentes. La morbimortalidad materna relacionada con enfermedades cardiovasculares es significativa, por lo que es fundamental realizar un abordaje multidisciplinario e individualizado de estas pacientes. La estratificación del riesgo es esencial para guiar la gestión clínica. La planificación de la finalización de la gestación debe ser individualizada, considerando el riesgo materno y fetal, se debe realizar en un centro de tercer nivel de atención y preferentemente lo más cercano al término para disminuir la morbimortalidad perinatal. El parto vaginal es la vía de elección; en la mayoría de los casos, es fundamental la monitorización continua materna y fetal durante el trabajo de parto y el parto y la vigilancia estricta materna en el puerperio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Congenital heart disease is the most common heart condition that complicates pregnancies in developed countries. Additionally, changes in lifestyle and older maternal age, along with age-related cardiovascular risk factors such as hypertension, diabetes, and obesity contribute to an increased incidence of acquired heart diseases. The normal physiological changes of pregnancy can exacerbate pre-existing heart conditions. Maternal morbidity and mortality related to cardiovascular diseases are significant, highlighting the need for a multidisciplinary and individualized approach to these patients. Risk stratification is essential for guiding clinical management. Planning the timing of delivery should be individualized, considering both maternal and fetal risks, ideally in a tertiary care center and preferably close to term to reduce perinatal morbidity and mortality. Vaginal delivery is the preferred mode, in most cases, with continuous monitoring of both maternal and fetal well-being during labor and delivery, and strict maternal surveillance in the postpartum period.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A cardiopatia congênita é a condição cardíaca mais comum que complica gestações em países desenvolvidos. Além disso, mudanças no estilo de vida e a idade materna avançada, associadas a fatores de risco cardiovascular relacionados à idade como hipertensão, diabetes e obesidade, contribuem para o aumento da incidência de doenças cardíacas adquiridas. As mudanças fisiológicas normais da gravidez podem agravar condições cardíacas pré-existentes. A morbimortalidade materna relacionada a doenças cardiovasculares é significativa, destacando a necessidade de uma abordagem multidisciplinar e individualizada para essas pacientes. A estratificação de risco é essencial para orientar o manejo clínico. O planejamento da terminação da gestação deve ser individualizado, considerando os riscos maternos e fetais, idealmente em um centro de atendimento terciário e preferencialmente próximo ao termo para reduzir a morbimortalidade perinatal. O parto vaginal é o método preferido na maioria dos casos, com monitoramento contínuo do bem-estar materno e fetal durante o trabalho de parto e o parto, além de uma vigilância rigorosa materna no pós-parto.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[CARDIOPATÍA]]></kwd>
<kwd lng="es"><![CDATA[CARDIOPATÍA CONGÉNITA]]></kwd>
<kwd lng="es"><![CDATA[EMBARAZO]]></kwd>
<kwd lng="es"><![CDATA[OMS]]></kwd>
<kwd lng="es"><![CDATA[ZAHARA]]></kwd>
<kwd lng="es"><![CDATA[PARTO VAGINAL]]></kwd>
<kwd lng="en"><![CDATA[HEART DISEASE]]></kwd>
<kwd lng="en"><![CDATA[CONGENITAL HEART DISEASE]]></kwd>
<kwd lng="en"><![CDATA[PREGNANCY]]></kwd>
<kwd lng="en"><![CDATA[WHO]]></kwd>
<kwd lng="en"><![CDATA[ZAHARA]]></kwd>
<kwd lng="en"><![CDATA[VAGINAL DELIVERY]]></kwd>
<kwd lng="pt"><![CDATA[DOENÇA CARDÍACA]]></kwd>
<kwd lng="pt"><![CDATA[DOENÇA CARDÍACA CONGÊNITA]]></kwd>
<kwd lng="pt"><![CDATA[GRAVIDEZ]]></kwd>
<kwd lng="pt"><![CDATA[OMS]]></kwd>
<kwd lng="pt"><![CDATA[ZAHARA]]></kwd>
<kwd lng="pt"><![CDATA[PARTO VAGINAL]]></kwd>
</kwd-group>
</article-meta>
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