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Published on: May 5, 2018
Cardiovascular Imaging and Pregnancy
Jonathan Windram1, Jasmine Grewal2
1Department of Medicine, Division of Cardiology, University of Alberta, Edmonton, Alberta, Canada.
Insights
Cardiovascular disease (CVD) is a leading cause of death in pregnant women. Advanced cardiovascular imaging is crucial for assessing risk and guiding management during pregnancy.
Area of Science:
- Cardiology
- Obstetrics
- Medical Imaging
Background:
- Cardiovascular disease (CVD) is increasingly common in women of childbearing age.
- CVD is now the primary cause of maternal morbidity and mortality.
- Optimal cardiology care for pregnant patients relies on cardiovascular imaging.
Purpose of the Study:
- To review hemodynamic and structural cardiovascular changes during pregnancy.
- To examine the role of various cardiovascular imaging modalities in pregnant patients.
- To highlight the strengths and weaknesses of each imaging technique.
Main Methods:
- Review of hemodynamic and structural changes in pregnancy.
- Analysis of cardiovascular imaging techniques: echocardiography, cardiac MRI, CT, and coronary angiography.
- Discussion of the application and limitations of each modality.
Main Results:
- Pregnancy induces significant hemodynamic and structural changes in the cardiovascular system.
- Echocardiography, cardiac MRI, CT, and coronary angiography have distinct roles in managing pregnant patients with CVD.
- Each imaging modality offers unique advantages and disadvantages for risk assessment and management.
Conclusions:
- Cardiovascular imaging is essential for managing pregnant women with CVD.
- Understanding imaging modalities aids in accurate risk stratification and treatment.
- Tailored imaging approaches improve maternal and fetal outcomes in CVD.
Abstract:
Cardiovascular disease (CVD) has become increasingly prevalent in women of childbearing age in the western world. This has led to CVD now being the leading cause of maternal morbidity and mortality. In the modern era optimal cardiology care is dependent on cardiovascular imaging and this is especially so in the appropriate management of the pregnant woman with CVD. CVD imaging allows for accurate risk assessment before pregnancy and guides appropriate management during pregnancy. In this article we outline the hemodynamic and structural changes that occur in the cardiovascular system in pregnancy. We examine the role of echocardiography, cardiac magnetic resonance imaging, computed tomography, and coronary angiography within the care of the pregnant patient and highlight the strengths and weaknesses of each.
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