Echocardiography for Management of Cardiovascular Disease in Pregnancy.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2024-09-26 DOI:10.1007/s11886-024-02126-2

Mary Rodriguez Ziccardi, Joan E Briller

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Abstract

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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超声心动图治疗妊娠期心血管疾病。

审查目的：心血管疾病（CVD）仍然是导致孕产妇死亡和发病的主要因素。超声心动图是疑似和已知心血管疾病患者确定症状病因、治疗策略和预后的重要工具。我们总结了用于评估妊娠期心血管疾病的传统和新型技术的现状：最近的研究结果：传统技术仍可用于评估已知或疑似心血管疾病。使用斑点追踪的先进技术在不断发展，并越来越多地应用于亚临床疾病的诊断，包括妊娠高血压疾病和左心室（LV）功能障碍。关于超声心动图检查频率和检查对象的精确建议仍在不断变化。不过，最近发表的一份共识声明和新的筛查工具为瓣膜性心脏病患者的孕期评估提供了更多的建议。超声心动图仍是妊娠评估和风险分层的首选诊断方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.