The purpose of this report was to examine Cardiac Conditions among deliveries in Virginia, drawing on data collected from 2020 to 2024 sourced primarily from the VHHA maternal health dashboard as well as the MMRT report. The analysis shows a rising rate of cardiac conditions among deliveries experiencing severe maternal morbidity (SMM) between 2023 and 2024. Additionally, these findings highlight significant disparities in the rate of severe maternal morbidity among deliveries with cardiac conditions among racial groups, with Black Non-Hispanic populations experiencing higher rates than their White Non-Hispanic counterparts. Findings highlight that the rate of preterm births among deliveries with cardiac conditions has increased from 2023 to 2024. The most common cardiac complication among deliveries that also experienced SMM was arrhythmias. The rate of preterm births among those with cardiac conditions is highest among Black non-Hispanic and deliveries with payer Medicaid. The findings of this report illuminate variability among Cardiac conditions that suggest targeted intervention that focus to implementation strategies.