[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-318364-105":59,"doc-detail-318364-en":122},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":115,"head_meta":117,"extra_data":119,"updated_unix":121},105,"en","cardiogenic-shock-and-utilization-of-mechanical-circulatory-support-in-pregnancy-analytic-review","Cardiogenic Shock and Utilization of Mechanical Circulatory Support in Pregnancy - Analytic Review","","Maternal mortality rates are increasing in the United States, driven largely by cardiovascular disease and hypertensive disorders of pregnancy that account for about one-quarter to one-third of maternal and peripartum deaths. Cardiovascular morbidity arises from both acquired conditions tied to risk factors and inequities in care, as well as preexisting or pregnancy-acquired structural heart disease. Risk tools help identify high-risk patients but mainly emphasize known preexisting heart disease, leaving a gap in identifying those who may progress to severe outcomes such as cardiogenic shock. The analysis frames cardiogenic shock as a late stage of decompensation with postpartum vulnerability and evolving clinical stages.",{"@graph":69,"@context":114},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cardiogenic-shock-and-utilization-of-mechanical-circulatory-support-in-pregnancy-analytic-review/318364/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cardiogenic-shock-and-utilization-of-mechanical-circulatory-support-in-pregnancy-analytic-review/318364.png","ImageObject",300,407,{"name":92,"@type":93},"Eliana","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108],{"name":109,"@type":110,"acceptedAnswer":111},"What limitation affects common pregnancy cardiovascular risk-stratification tools?","Question",{"text":112,"@type":113},"Tools such as mWHO, CARPREG II, and ZAHARA are designed to identify patients at increased risk but predominantly focus on people with known preexisting heart disease. This creates challenges in identifying high-risk patients without previously recognized heart disease, including those who may develop cardiogenic shock.","Answer","https://schema.org",{"og:url":83,"og:type":116,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":118,"canonical":83},"index,follow",{"doc_id":120,"site_id":62},318364,1790463298,{"code":4,"msg":5,"data":123},{"doc_id":120,"user_id":124,"nickname":92,"user_avatar":125,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":131,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":67,"update_tm":135,"read_time":136},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","Analytic Review  \nCardiogenic Shock and Utilization of  \nMechanical Circulatory Support in Pregnancy  \nJournal of Intensive Care Medicine 2025, Vol. 40(5) 467-475  \n© The Author(s) 2024  \nArticle reuse guidelines: [sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/08850666231225606](DOI: 10.1177/08850666231225606)[ ](DOI: 10.1177/08850666231225606)[journals.sagepub.com/home/jic](journals.sagepub.com/home/jic)  \nAnna C. O’Kelly, MD, MPhil 1, Amy Sarma, MD 1, Emily Naoum, MD2, Sarah Rae Easter, MD3,4, Katherine Economy, MD5,  \nand Jonathan Ludmir, MD 1   \nAbstract  \nMaternal mortality rates are rising in the United States, a trend which is in contrast to that seen in other high-income nations. Cardiovascular disease and hypertensive disorders of pregnancy are consistently the leading causes of maternal mortality both in the United States and globally, accounting for about one-quarter to one-third of maternal and peripartum deaths. A large proportion of cardiovascular morbidity and mortality stems from acquired disease in the context of cardiovascular risk factors, which include obesity, pre-existing diabetes and hypertension, and inequities in care from maternal care deserts and structural racism. Patients may also become pregnant with preexisting structural heart disease, or acquire disease throughout pregnancy (ex: spontaneous coronary artery dissection, peripartum cardiomyopathy), and be at higher risk of pregnancy-related cardiovascular complications. While risk-stratification tools including the modified World Health Organization (mWHO) classification, Cardiac Disease in Pregnancy (CARPREG II) and Zwangerschap bij Aangeboren HARtAfwijking/Pregnancy in Women with Congenital Heart Disease (ZAHARA) have been designed to help physicians identify patients at increased risk for adverse pregnancy outcomes and who may therefore benefit from referral to a tertiary care center, the limitation of these scores is their predominant focus on patients with known preexisting heart disease. As such, identifying patients at risk for pregnancy complications presentsa significant challenge, and it is often patients with high-risk cardiovascular substrates prior to or during pregnancy who are at a highest risk for adverse pregnancy outcomes including cardiogenic shock.  \nKeywords  \nshock, ECMO, multidisciplinary critical care  \nCardiogenic Shock in Pregnancy and the Peripartum Period  \nMaternal mortality rates are rising in the United States, with recent data showing the maternal mortality rate in 2020 was 23. 8 maternal deaths per 100 000 live births.1–4 The trend of rising maternal mortality is in contrast to that seen in other highincome nations. Cardiovascular disease and hypertensive disorders of pregnancy are consistently the leading causes of maternal mortality both in the United States and globally, accounting for about one-quarter to one-third of maternal and peripartum deaths.2,5–8 A large proportion of cardiovascular morbidity and mortality stems from acquired disease in the context of cardiovascular risk factors, which include obesity, pre-existing diabetes and hypertension, and inequities in care from maternal care deserts and structural racism.2,5,9–15 Patients may also become pregnant with preexisting structural heart disease, or acquire disease throughout pregnancy (ex: spontaneous coronary artery dissection (SCAD), peripartum cardiomyopathy), and be at higher risk of pregnancy-related cardiovascular complications. While risk-stratification tools including the modified World Health Organization (mWHO) classification, Cardiac Disease in Pregnancy (CARPREG II) and Zwangerschap bij  \nAangeboren HARtAfwijking/Pregnancy in Women with Congenital Heart Disease (ZAHARA) have been designed to help physicians identify patients at increased risk for adverse pregnancy outcomes and who may therefore benefit from referral to a tertiary care center, the limitation of these scores is th","cbCaigGweUpwrdWZ","https://ap.wps.com/l/cbCaigGweUpwrdWZ","pdf",663146,"English","# Cardiogenic Shock in Pregnancy and the Peripartum Period\n## Maternal mortality trends and major causes\n## Cardiovascular risk factors, structural heart disease, and inequities\n## Limits of existing risk-stratification tools\n## Definition, evolution, and mortality of cardiogenic shock\n## Postpartum vulnerability and clinical staging","[{\"question\":\"What limitation affects common pregnancy cardiovascular risk-stratification tools?\",\"answer\":\"Tools such as mWHO, CARPREG II, and ZAHARA are designed to identify patients at increased risk but predominantly focus on people with known preexisting heart disease. This creates challenges in identifying high-risk patients without previously recognized heart disease, including those who may develop cardiogenic shock.\"}]","Cardiogenic Shock and Utilization of Mechanical Circulatory Support in Pregnancy - Analytic Review | PDF",1789940131,23]