Cardiac disease in pregnancy echocardiography: Difference between revisions
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Created page with "{{Cardiac disease in pregnancy}} {{CMG}}; {{AOEIC}} {{CZ}} ==Echocardiography== There is a progressive increase in chamber dimension with approximately a 20% increase in the ..." |
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{{Cardiac disease in pregnancy}} | {{Cardiac disease in pregnancy}} | ||
{{CMG}}; {{AOEIC}} {{CZ}} | {{CMG}}; {{AOEIC}} {{CZ}}; {{LG}} | ||
== | ==Overview== | ||
There is a progressive increase in chamber dimension with | Echocardiograhy does not carry the risk of fetal irradiation; hence, is a safe and preferred screening method to assess cardiac function and valvular lesions. | ||
==Maternal Echocardiographic Findings== | |||
*There is a progressive increase in chamber dimension with: | |||
::*~20% increase in the size of the [[right atrium]] and the [[right ventricle]], | |||
::*~12% increase in [[left atrial]] size, and | |||
::*~6% increase in [[left ventricular]] size. | |||
*Following delivery, the above changes gradually return to pre-gestational baseline. | |||
*In addition, there is early and progressive dilation of the mitral, tricuspid, and pulmonary annuli which is associated with an increase in valvular regurgitation. | |||
==Fetal Echocardiography== | ==Fetal Echocardiography== | ||
Fetal echocardiography is '''96% sensitive''' in detecting major structural malformations (72/74 abnormalities identified among 1,022 fetuses) and is useful for genetics counseling and management during pregnancy and postpartum. | |||
====Indications:==== | ====Indications:==== | ||
* Pregnant women at high-risk for [[structural heart disease]] with: | |||
:* | ::* History of [[congenital heart disease]] themselves or in previous children. | ||
:* [[diabetes]] | ::* Presence of [[diabetes]] or [[collagen vascular disease]]- predisposing factor for [[congenital heart disease]]. | ||
* History of a [[arrhythmia|fetal arrhythmia]] | |||
* | * Consumption of [[teratogens]] | ||
* | |||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category: | [[Category:Echocardiography]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Revision as of 14:12, 18 April 2012
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Cardiac disease in pregnancy Microchapters |
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Diagnosis |
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Catheterization: |
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Treatment |
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Special Scenarios:
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Cardiac disease in pregnancy echocardiography On the Web |
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American Roentgen Ray Society Images of Cardiac disease in pregnancy echocardiography |
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Directions to Hospitals Treating Cardiac disease in pregnancy |
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Risk calculators and risk factors for Cardiac disease in pregnancy echocardiography |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]
Overview
Echocardiograhy does not carry the risk of fetal irradiation; hence, is a safe and preferred screening method to assess cardiac function and valvular lesions.
Maternal Echocardiographic Findings
- There is a progressive increase in chamber dimension with:
- ~20% increase in the size of the right atrium and the right ventricle,
- ~12% increase in left atrial size, and
- ~6% increase in left ventricular size.
- Following delivery, the above changes gradually return to pre-gestational baseline.
- In addition, there is early and progressive dilation of the mitral, tricuspid, and pulmonary annuli which is associated with an increase in valvular regurgitation.
Fetal Echocardiography
Fetal echocardiography is 96% sensitive in detecting major structural malformations (72/74 abnormalities identified among 1,022 fetuses) and is useful for genetics counseling and management during pregnancy and postpartum.
Indications:
- Pregnant women at high-risk for structural heart disease with:
- History of congenital heart disease themselves or in previous children.
- Presence of diabetes or collagen vascular disease- predisposing factor for congenital heart disease.
- History of a fetal arrhythmia
- Consumption of teratogens