{"id":152,"date":"2026-06-10T11:44:32","date_gmt":"2026-06-10T10:44:32","guid":{"rendered":"https:\/\/7c71d11735.nxcli.io\/?page_id=152"},"modified":"2026-06-10T15:12:19","modified_gmt":"2026-06-10T14:12:19","slug":"cardiology","status":"publish","type":"page","link":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/professionals\/cardiology\/","title":{"rendered":"Cardiology"},"content":{"rendered":"
<\/div>

Cardiology<\/h1><\/div><\/div><\/div><\/div><\/section>
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Criteria for referral to the North East and North Cumbria Maternal medicine network has been developed based upon NHS England Maternal medicine service specification (appendix 2)<\/em> , the mWHO risk stratification (appendix 3<\/em>) and in consultation with lead clinicians around the region.<\/p>\n

Women should be risk stratified using appendix 1 and referred through to the MMC for timely access to specialist care via NENC connect (click here).<\/p>\n

Clinic timetable<\/h3>\n

MMC Cardiology Obstetric leads- Dr K Hodson & Dr S Williams<\/p>\n

Cardiologist- Dr K Jansen & Dr J Rybicka<\/p>\n

Joint Obstetric & Cardiology clinics run on Thursday afternoons at Freeman Hospital, Outpatient department C.<\/p>\n

? Regional Unit- JCUH<\/p>\n

Obstetric Consultant-<\/p>\n

Cardiologist- Dr P Brown<\/p>\n

Contact details<\/h3>\n

Cardiology Secretaries: 0191 21 37484<\/p>\n

Adult Congenital Heart Nurse Specialist:<\/p>\n

Appendix\u00a0 <\/span>1. North East and North Cumbria Maternal Medicine Network cardiology conditions for consideration for referral for maternal medicine opinion or transfer of care. <\/strong><\/p>\n

Appendix 2. mWHO risk stratification <\/strong><\/p>\n

Appendix 2. NHS England Referral criteria<\/strong><\/p>\n<\/div><\/div><\/div><\/div>

Clinical resources<\/h3>\n

2025 ESC Guidelines for the management of cardiovascular disease and pregnancy <\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/p>\n

ESC Guidelines on Cardiovascular Diseases during Pregnancy (Management of)<\/a><\/p>\n

NICE Guidance<\/strong><\/p>\n

Recommendations | Intrapartum care for women with existing medical conditions or obstetric complications and their babies | Guidance | NICE<\/a><\/p>\n

Patient information leaflets <\/strong><\/p>\n

Planning pregnancy with a heart condition- British Heart Foundation<\/p>\n

Pregnancy and your heart: why it’s important to plan ahead – BHF<\/a><\/p>\n

Planning pregnancy with aortic disease- Aortic Disease Awareness<\/p>\n

Planning Pregnancy with Aortic Disease<\/a><\/p>\n

Pregnancy with a heart condition -Leeds Hospital<\/p>\n

Pregnancy and heart conditions<\/a><\/p>\n

Heart condition and sexual health & Contraception<\/p>\n

Pregnancy with a heart condition \u2013 Scottish Obstetric Cardiology Network<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>

Appendix 2<\/h3>\n<\/div><\/div>
<\/div>
\n\n\n\n\t\n\n\t
<\/td>m WHO I<\/th>m WHO II<\/th>m WHO II-III<\/th>m WHO III<\/th>m WHO IV<\/th>\n<\/tr>\n<\/thead>\n
Diagnosis<\/td>Small or mild
\n- pulmonary stenosis
\n- patent ductus arteriosus
\n- mitral valve prolapse
\n
\nSuccessfully repaired simple lesions
\natrial or ventricular septal defect
\n- patent ductus arteriosus
\n-anomalous pulmonary venous drainage
\n
\n
\nAtrial or ventricular ectopic beats isolated
\n<\/td>		Unoperated atrial septal or ventricular defect
\n
\nRepaired tetralogy of Fallot
\n
\nMost arrhythmias (supraventricular arrhythmias)
\n<\/td>		Mild left ventricular impairment (EF >45%) .
\n
\nHypertrophic cardiomyopathy
\n
\n Native or tissue valve disease not considered WHO I or IV (mild mitral aortic stenosis)
\nMarfan or other HTAD syndrome without aortic dilatation Aorta
\n
\nAorta <45 mm in bicuspid
\naortic valve pathology
\n
\nRepaired coarctation
\n
\nAtrioventricular septal
\nDefect
\n
\nTurners Syndrome
\n
\nAll channelopathies (event
\nrate not applicable)
\n
\n<\/td>		Moderate left ventricular impairment (EF 30-45%).
\n
\nPrevious peripartum cardiomyopathy without any residual impairment of left ventricular function
\n
\nSystemic right ventricle with good or mildly decreased ventricular function.
\n Fontan circulation. If otherwise the patient is well and the cardiac condition uncomplicated
\n
\nUnrepaired cyanotic heart disease
\n
\nOther complex heart disease
\n
\nModerate mitral stenosis
\nSevere asymptomatic aortic stenosis
\n
\nModerate aortic dilatation
\n
\nVentricular tachycardia
\n<\/td>		Pulmonary arterial hypertension
\n
\n(Severe left ventricular dysfunction (EF <30%)
\n
\nPrevious peripartum cardiomyopathy with any residual left ventricular impairment
\n
\nSevere mitral stenosis
\n
\nSevere symptomatic aortic stenosis
\n
\nSystemic right ventricle with moderate or severely decreased ventricular function
\n
\nSevere aortic dilatation
\n
\nVascular Ehlers-Danlos
\nSevere (re)coarctation
\n
\nFontan with any complication Mechanical valve
\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div><\/div>
<\/div>
\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Category A
\n(Local Hospital planned care- refer to MDT if opinion needed)<\/th>		Category B
\n(Referral to MDT for discussion and advice)<\/th>		Category C
\n(Refer to MDT for consideration of MMC led care)<\/th>\n<\/tr>\n<\/thead>\n
Mild pulmonary stenosis<\/td>Mild reduced left ventricular ejection fraction (>45%)<\/td>Pulmonary hypertension<\/td>\n<\/tr>\n
Small\/repaired patent ductus arteriosus<\/td>Hypertrophic cardiomyopathy with no high-risk features<\/td>Left ventricular ejection fraction <45%<\/td>\n<\/tr>\n
Mitral valve prolapse<\/td>Repaired aortic coarctation<\/td>Severe aortic stenosis<\/td>\n<\/tr>\n
Repaired atrial septal defect<\/td>Mild mitral stenosis<\/td>Systemic right ventricle<\/td>\n<\/tr>\n
Repaired ventricular septal defect<\/td>Mild-moderate aortic stenosis<\/td>Fontan<\/td>\n<\/tr>\n
Isolated atrial or ventricular ectopic beats<\/td>Other valve lesions not listed in A or C<\/td>Previous peripartum cardiomyopathy<\/td>\n<\/tr>\n
Postural tachycardia syndrome (PoTS)<\/td>Atrioventricular septal defect<\/td>Ventricular arrhythmia<\/td>\n<\/tr>\n
<\/td>Repaired tetralogy of Fallot<\/td>Mechanical valve<\/td>\n<\/tr>\n
<\/td>Supraventricular arrhythmias<\/td>Moderate-severe mitral stenosis<\/td>\n<\/tr>\n
<\/td>Turner syndrome without aortic dilatation<\/td>Aortic dilatation<\/td>\n<\/tr>\n
<\/td>Treated ischaemic heart disease<\/td>Heart transplant<\/td>\n<\/tr>\n
<\/td>Myocarditis<\/td>New ischaemic heart disease<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"CardiologyCriteria for referral to the North East and North Cumbria Maternal medicine network has been developed based upon NHS England Maternal medicine service specification (appendix 2) , the mWHO risk stratification (appendix 3) and in consultation with lead clinicians around the region. Women should be risk stratified using appendix 1 and referred through to the...","protected":false},"author":1,"featured_media":0,"parent":86,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-152","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/comments?post=152"}],"version-history":[{"count":10,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/152\/revisions"}],"predecessor-version":[{"id":184,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/152\/revisions\/184"}],"up":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/86"}],"wp:attachment":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/media?parent=152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}