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Evaluation and Diagnostic Testing.

Stephanie E Purisch1, Mohammed Algodi2, Cynthia Taub2

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This summary is machine-generated.

Evaluating heart disease in pregnancy requires a high index of suspicion. Most diagnostic imaging tests, including echocardiography, are safe for pregnant patients with cardiovascular disease.

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Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Diagnostic Imaging

Background:

  • Cardiovascular disease evaluation in pregnancy is complex due to overlapping symptoms with normal pregnancy.
  • Concerns exist regarding the safety of diagnostic imaging on fetal development.

Purpose of the Study:

  • To outline an approach for evaluating pregnant patients with cardiac conditions.
  • To review the safety and utility of various diagnostic tests in pregnant individuals.

Main Methods:

  • Review of diagnostic tests including laboratory workups, electrocardiogram, echocardiography, stress testing, CT, MRI, and cardiac catheterization.
  • Assessment of safety and efficacy of these tests during pregnancy.

Main Results:

  • The majority of standard diagnostic imaging studies can be safely performed during pregnancy.
  • A high index of suspicion is crucial for accurate diagnosis in pregnant patients.

Conclusions:

  • Diagnostic evaluation of cardiovascular disease in pregnancy is feasible and safe with appropriate testing.
  • Maintaining a high index of suspicion is essential, particularly for pregnant individuals with pre-existing heart conditions.