The Pregnant Cardiac Patient: Evaluation and Diagnostic TestingRisk Assessment of the Cardiac Pregnant PatientSIU, SAMUEL C. MD, SM, MBA*,†; EVANS, KARI L. MD‡; FOLEY, MICHAEL R. MD‡Author Information *Department of Medicine, Division of Cardiology, Schulich School of Medicine and Dentistry, Western University, London †Pregnancy and Heart Disease and Obstetric Medicine Program, University of Toronto, Toronto, Ontario, Canada ‡Department of Obstetrics and Gynecology, University of Arizona College of Medicine, Phoenix, Arizona The authors declare that they have nothing to disclose. Correspondence: Samuel C. Siu, MD, SM, MBA, B6-121, University Hospital LHSC, London, ON, Canada. E-mail: [email protected] Clinical Obstetrics and Gynecology: December 2020 - Volume 63 - Issue 4 - p 815-827 doi: 10.1097/GRF.0000000000000555 Buy Metrics Abstract Women with heart disease are at increased risk for maternal and fetal complications in pregnancy. Therefore, all women with heart disease should undergo evaluation and counseling, ideally before conception, or as early in pregnancy as possible. In this article we will review the role of risk assessment, the history of development of the cardiac risk prediction tools, and the role of current cardiac risk prediction tools. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.