Evidence map›Paper›PMID 40066345›Full record

ReviewInternational journal of cardiology. Congenital heart disease2025

Pregnancy and pulmonary artery hypertension: Management challenges.

Gurleen Wander, Claudia Montanaro, Prithvi Dixit, Daryl Dob, Mark R Johnson, Roshni R Patel

Abstract readReview
In one paragraph

Review in International journal of cardiology. Congenital heart disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Advancing the science and care of pulmonary hypertension, globally.International journal of cardiology. Congenital heart disease · 2026
    Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gurleen WanderDepartment of Obstetrics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Claudia MontanaroDepartment of Adult Congenital Heart Disease, Royal Brompton Hospital, Part of Guys and St Thomas NHS Foundation Trust, London, UK.
Prithvi DixitDepartment of Metabolism, Digestion and Reproduction, Imperial College London, UK.
Daryl DobDepartment of Anesthesia, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Mark R JohnsonDepartment of Obstetrics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Roshni R PatelDepartment of Obstetrics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary hypertension (PH) is a term used to describe a complex heterogenous group of conditions defined by a mean pulmonary arterial pressure of more than 20 mmHg at rest on right-heart catheterization. PH in pregnancy is associated with high rates of maternal morbidity and mortality and poor fetal outcomes. Currently, pregnancy in these women is classified as modified WHO class IV (pregnancy contraindicated). More recent data suggest that the prognosis varies with the underlying aetiology as well as with PH severity. Consequently, management during pregnancy must be individualised, with patients cared for in a tertiary unit as part of an experienced multidisciplinary team. In this article, we will discuss the importance of preconception counselling, the impact of the haemodynamic changes induced by pregnancy, the maternal and fetal risks of pregnancy in women with PH, and how these can be minimised by close antenatal, intrapartum and post-partum care and the development of individualised pregnancy plans.

Indexed as

ContraceptionHeart failureManagementPreconception counsellingPregnancyPulmonary artery hypertension

Identifiers

PMID40066345
PMCPMC11891689

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.