Preview

Russian Journal of Cardiology

Advanced search

Algorithm of echocardiography in pregnant women

https://doi.org/10.15829/1560-4071-2018-12-75-83

Abstract

Pregnancy is a physiological condition that takes a defined period of time in a woman’s life. For nine months, the mother’s heart works under conditions of daily additional load, which is necessary to ensure placental blood flow. In this regard, structural and functional adaptation of the heart develops in a healthy woman with a normal pregnancy. A pregnant woman with some heart diseases is less likely to adapt. That leads to greater susceptibility to stress resulting in pathological changes of pregnancy. In addition, each pregnancy may develop new heart diseases, which in some cases may be relatively innocent, but in others — fatal. In this regard echocardiography (EchoCG) is a necessary procedure for assessing a woman’s health status that needs before bearing a fetus, during and after pregnancy.

About the Authors

S. G. Gorokhova
Russian Medical Academy of Continuing Professional Education
Russian Federation
Moscow


T. E. Morozova
I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow


A. A. Arakelyants
I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow


E. A. Barabanova
I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow


E. G. Dyakonova
I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow


References

1. Naqvi TZ, Elkayam U. Serial echocardiographic assessment of the human heart in normal pregnancy. Circ Cardiovasc Imaging. 2012;5(3):283-5. doi:10.1161/CIRCIMAGING.112.974808.

2. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(24):3147-97. doi:10.1093/eurheartj/ehr218.

3. Tsiaras S, Poppas A. Cardiac disease in pregnancy: value of echocardiography. Curr Cardiol Rep. 2010;12(3):250-6. doi:10.1007/s11886-010-0106-9.

4. Narayanan M, Elkayam U, Naqvi TZ. Echocardiography in Pregnancy: Part 2. Curr Cardiol Rep. 2016;18(9):90. doi:10.1111/echo.13242.

5. Savu O, Jurcuţ R, Giuşcă S, van Mieghem T, et all. Morphological and functional adaptation of the maternal heart during pregnancy. Circ Cardiovasc Imaging. 2012;5(3):289-97. doi:10.1161/CIRCIMAGING.111.970012.

6. Li J, Umar S, Amjedi M, et al. New frontiers in heart hypertrophy during pregnancy. Am J Cardiovasc Dis. 2012;2(3):192-207. 22937489 PubMed.

7. Schannwell CM, Zimmermann T, Schneppenheim M, et al. Left Ventricular Hypertrophy and Diastolic Dysfunction in Healthy Pregnant Women Cardiology. 2002;97:73-8. doi:10.1159/000057675.

8. Cong J, Fan T, Yang X, Squires JW, et al. Structural and functional changes in maternal left ventricle during pregnancy: a three-dimensional speckle-tracking echocardiography study. Cardiovasc Ultrasound. 2015;13:6. doi:10.1186/1476-7120-13-6.

9. Bauersachs J, Arrigo M, Hilfiker-Kleiner D, et al. Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2016;18(9):1096-105. doi:10.1002/ejhf.586.

10. Johnson-Coyle L, Jensen L, Sobey A; American College of Cardiology Foundation; American Heart Association. Peripartum cardiomyopathy: review and practice guidelines. Am J Crit Care. 2012;21(2):89-98. doi:10.4037/ajcc2012163.

11. Ntusi NB, Badri M, Gumedze F, et al. Pregnancy-Associated Heart Failure: A Comparison of Clinical Presentation and Outcome between Hypertensive Heart Failure of Pregnancy and Idiopathic Peripartum Cardiomyopathy. PLoS One. 2015;10(8):e0133466. doi:10.1371/journal.pone.0133466.

12. Hibbard JU, Lindheimer M, Lang RM. A modified definition for peripartum cardiomyopathy and prognosis based on Echocardiography. Obstet Gynecol. 1999;94 (2):311-6.

13. Dennis AT, Castro JM. Echocardiographic differences between preeclampsia and peripartum cardiomyopathy. Int J Obstet Anesth. 2014;23(3):260-6. doi:10.1016/j.ijoa.2014.05.002.

14. Arany Z. Understanding Peripartum Cardiomyopathy. Annu Rev Med. 2018;69:165-76. doi:10.1146/annurev-med-041316-090545.

15. Nanna M, Stergiopoulos K. Pregnancy Complicated by Valvular Heart Disease: An Update. Journal of the American Heart Association, June 2014, Wolters Kluwer Health. doi:10.1161/jaha.113.000712.

16. Pessel C, Bonanno C. Valve disease in pregnancy. Semin Perinatol. 2014;38(5):273-84. S0146-0005(14)00034-2. doi:10.1053/j.semperi.2014.04.016.

17. Leśniak-Sobelga A, Tracz W, KostKiewicz M, et al. Clinical and echocardiographic assessment of pregnant women with valvular heart diseases-maternal and fetal outcome. Int J Cardiol. 2004;94(1):15-23.

18. Bhagra CJ, D’Souza R, Silversides CK. Valvular heart disease and pregnancy part II: management of prosthetic valves. Heart. 2017 Feb;103(3):244-52. doi:10.1136/heartjnl-2017-312559.

19. Roeder HA, Kuller JA, Barker PC, James AH. Maternal valvular heart disease in pregnancy. Obstet Gynecol Surv. 2011;66(9):561-71. doi:10.1097/OGX.0b013e318238605d.

20. Windram JD, Colman JM, Wald RM, et al. Valvular heart disease in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2014;28(4):507-18. doi:10.1016/j.bpobgyn.2014.03.009.

21. Shim WJ. Role of echocardiography in the management of cardiac disease in women. J Cardiovasc Ultrasound. 2014;22(4):173-9. doi:10.4250/jcu.2014.22.4.173.


Review

For citations:


Gorokhova S.G., Morozova T.E., Arakelyants A.A., Barabanova E.A., Dyakonova E.G. Algorithm of echocardiography in pregnant women. Russian Journal of Cardiology. 2018;(12):75-83. (In Russ.) https://doi.org/10.15829/1560-4071-2018-12-75-83

Views: 1827


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)