Diagnostic Cardiovascular Imaging and Therapeutic Strategies in Pregnancy

被引:23
作者
Bello, Natalie A. [1 ]
Merz, C. Noel Bairey [2 ]
Brown, Haywood [3 ]
Davis, Melinda B. [4 ]
Dickert, Neal W. [5 ,6 ]
El Hajj, Stephanie C. [7 ,8 ]
Giullian, Cindy [9 ]
Quesada, Odayme [2 ,10 ]
Park, Ki [11 ]
Sanghani, Rupa M. [12 ]
Shaw, Leslee [13 ,14 ]
Volgman, Annabelle Santos [12 ]
Wenger, Nanette K. [15 ]
Williams, Dominique [16 ]
Pepine, Carl J. [11 ]
Lindley, Kathryn J. [16 ]
机构
[1] Columbia Univ Irving Med Ctr, Div Cardiol, Dept Med, 622 West 168th St,PH 3-342, New York, NY 10032 USA
[2] Cedars Sinai Smidt Heart Inst, Barbra Streisand Womens Heart Ctr, Los Angeles, CA USA
[3] Univ S Florida, Dept Obstet & Gynecol, Tampa, FL 33620 USA
[4] Univ Michigan, Dept Internal Med, Div Cardiovasc Med, Ann Arbor, MI 48109 USA
[5] Emory Univ, Sch Med, Atlanta, GA USA
[6] Emory Heart & Vasc Ctr, Atlanta, GA USA
[7] ProMed Phys Cardiol, Toledo, OH USA
[8] Mayo Clin, Rochester, MN USA
[9] HCA, Continental Div, Denver, CO USA
[10] Christ Hosp, Carl & Edyth Lindner Ctr Res & Educ, Cincinnati, OH 45219 USA
[11] Univ Florida, Coll Med, Cardiovasc Med, Gainesville, FL USA
[12] Rush Univ, Med Ctr, Div Cardiol, Chicago, IL 60612 USA
[13] New York Presbyterian Hosp, Dept Radiol & Med, New York, NY USA
[14] Weill Cornell Med, New York, NY USA
[15] Emory Univ, Sch Med, Emory Heart & Vasc Ctr, Emory Womens Heart Ctr, Atlanta, GA USA
[16] Washington Univ, Sch Med, Div Cardiovasc, Dept Med, St Louis, MO 63110 USA
基金
美国国家卫生研究院;
关键词
imaging; lactation; medication; pregnancy; cardio-obstetrics; APPROPRIATE USE CRITERIA; CONTRAST-MEDIA; HEART; GUIDELINES; HEALTH; SOCIETY; DISEASE;
D O I
10.1016/j.jacc.2021.01.056
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prevalence of cardiovascular disease (CVD) in pregnancy, both diagnosed and previously unknown, is rising, and CVD is a leading cause of maternal morbidity and mortality. Historically, women of child-bearing potential have been un-derrepresented in research, leading to lasting knowledge gaps in the cardiovascular care of pregnant and lactating women. Despite these limitations, clinicians should be familiar with the safety of frequently used diagnostic and ther-apeutic interventions to adequately care for this at-risk population. This review, the fourth of a 5-part series, provides evidence-based recommendations regarding the use of common cardiovascular diagnostic tests and medications in pregnant and lactating women. (J Am Coll Cardiol 2021;77:1813?22) ? 2021 by the American College of Cardiology Foundation.
引用
收藏
页码:1813 / 1822
页数:10
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