2025 ESC Guidelines for the management of cardiovascular disease and pregnancy

ESC Clinical Practice Guidelines

29 Aug 2025

The current Guidelines for the management of cardiovascular disease and pregnancy support health care professionals to manage and care for women with cardiovascular diseases before, during and after pregnancy. The 2025 guideline is developed by a multidisciplinary Task Force and is an update from the 2018 ESC Guidelines on cardiovascular disease during pregnancy. The new 2025 guideline adds important new information and evidence, update risk-scoring and new chapters on e.g. the organisation and tasks of the Pregnancy Heart Team, updated and new disease specific chapters and a dedicated chapter on long term effects of adverse pregnancy outcomes.

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Topic(s):

Arrhythmias, General

Coronary Artery Disease (Chronic)

Clinical

Diseases of the Aorta

Cardiovascular Surgery

Preventive Cardiology

Congenital Heart Disease and Pediatric Cardiology

Stroke Prevention

Acute Cardiac Care

Pregnancy and Cardiovascular Disease

Atrial Fibrillation

Cardiovascular Disease in Women

Interventional Cardiology

Hypertension

Echocardiography

Ventricular Arrhythmias and Sudden Cardiac Death (SCD)

Pharmacology and Pharmacotherapy

Invasive Imaging and Functional Assessment

Valvular Heart Disease

Chronic Heart Failure

Acute Heart Failure

Allied Professions in Cardiovascular Care

Risk Factors and Prevention

Cardiovascular Pharmacotherapy

Cardiovascular Nursing

Treatment

Supraventricular Tachycardia (non-AF)

Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure

Cardiac Magnetic Resonance

Acute Coronary Syndromes

Cardiovascular Disease in Special Populations

Endorsed by cardiac societies

Armenian Cardiologists Association , Austrian Society of Cardiology , Belgian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Estonian Society of Cardiology , French Society of Cardiology , Georgian Society of Cardiology , German Cardiac Society , Hungarian Society of Cardiology , Irish Cardiac Society , Italian Federation of Cardiology , Association of Cardiologists of Kazakhstan , Kosovo Society of Cardiology , Kyrgyz Society of Cardiology , Latvian Society of Cardiology , Luxembourg Society of Cardiology , Maltese Cardiac Society , National Society of Cardiology of North Macedonia , Polish Cardiac Society , Romanian Society of Cardiology , San Marino Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology ,