This is a guide for women with heart disease who are pregnant, or wish to become pregnant. It explains how physicians evaluate and treat pregnant women with various heart conditions, including congenital and acquired. This book reviews in detail cardiac medications, procedures, and how physicians manage various cardiac conditions. It contains sections on pre pregnancy counseling, genetic testing, and the aspects of a maternal cardiac care program. There is detailed information on anesthesia for pregnant women with heart disease . Arrhythmia management is also discussed in detail. This work is the result of concern from a woman with congenital heart disease who underwent a complicated, but successful pregnancy, who felt she had few printed resources to guide her. It is the result of collaboration between a maternal-fetal specialist, an adult congenital specialist, an electrophysiologist, and a cardiac/obstetric anesthesiologist, with contributions from a cardiac surgeon, a genetic counselor, a placental pathologist, an advanced practice cardiac nurse, and others. It will serve as comprehensive reference for anyone wishing to better understand the complex medical decisions made by physicians, patients, and other health care providers to ensure successful pregnancy for women with heart disease.detailedfor women