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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Echocardiography for Management of Cardiovascular Disease in Pregnancy
Mary Rodriguez Ziccardi1, Joan E Briller2
1Division of Cardiology, Department of Medicine, University of Illinois Chicago, 840 S. Wood St. (Mc 715), Chicago, IL, 60612, USA.
Insights
Echocardiography is crucial for assessing cardiovascular disease (CVD) in pregnancy. Advanced techniques like speckle tracking aid in diagnosing subclinical conditions, improving maternal care.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Medical Imaging
Background:
- Cardiovascular disease (CVD) is a major cause of maternal mortality and morbidity.
- Echocardiography is vital for diagnosing CVD in pregnant individuals, guiding treatment and prognosis.
Purpose of the Study:
- To review conventional and novel echocardiographic techniques for assessing CVD during pregnancy.
- To summarize the current applications and evolving role of echocardiography in obstetric cardiology.
Main Methods:
- Review of current literature on echocardiography in pregnancy.
- Focus on conventional echocardiography and advanced techniques like speckle tracking.
- Inclusion of recent consensus statements and screening tools.
Main Results:
- Conventional echocardiography remains valuable for known or suspected CVD.
- Speckle tracking echocardiography is increasingly used for subclinical disease, including hypertensive disorders and left ventricular dysfunction.
- New guidelines and screening tools offer further recommendations for echocardiography use.
Conclusions:
- Echocardiography is the primary diagnostic tool for evaluating and risk-stratifying pregnant patients with CVD.
- Evolving technologies enhance the diagnosis of subclinical cardiac conditions in pregnancy.
- Further research and consensus are refining echocardiography protocols in obstetric care.
Purpose Of Review:
Cardiovascular disease (CVD) continues to be a leading contributor to maternal mortality and morbidity. Echocardiography is an essential tool for patients with suspected and known CVD to establish symptom etiology, treatment strategy, and prognosis. We summarize the current status of conventional and novel techniques for assessment of CVD during pregnancy.
Recent Findings:
Conventional techniques are still useful for evaluation of known or suspected CVD. Advanced technology using speckle tracking continues to evolve and is increasingly applied for diagnosis of subclinical disease including hypertensive disorders of pregnancy and left ventricular (LV) dysfunction. Precise recommendations on how frequently echocardiography should be performed and for whom remain in flux. However, a recently published consensus statement and new screening tool for pregnancy assessment of patients with valvular heart disease provide additional advice on using this modality. Echocardiography remains the diagnostic modality of choice for evaluation and risk stratification in pregnancy.
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