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We read with interest the paper by Bhagra et al 1 and wish to add further information from two recent publications which emphasise their key points that ‘pregnancy in women with mechanical heart valves is high risk’ and that ‘a multidisciplinary team approach to the management of pregnant women with Prosthetic Heart Valves is necessary to ensure optimal outcomes.’
A recent prospective observational national study of women in the UK with pregnancies between February 2013 and January 2015, estimated the incidence of mechanical prosthetic heart valves (MPHVs) in …
Contributors SV drafted the letter. All authors reviewed it, and had been involved in the work referred to in the letter.
Competing interests Marian Knight is funded by an NIHR Research Professorship. The views expressed are those of the author, and not necessarily those of the NHS, the NHIR, or the Department of Health.
Patient consent Letter submitted online in response to a paper by Bhagra. Editor invited us to submit it for a print version of the journal.
Provenance and peer review Not commissioned; internally peer reviewed.
Data sharing statement Letter for publication rather than original research, but no 'Correspondence' tab on this website.