scholarly journals Evaluation of the frequency and types of structural heart disease in fetuses of pregnant women according to risk groups by fetal echocardiography

2021 ◽  
Author(s):  
Hakan ALTIN
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Fetal Echocardiography ◽  
Structural Heart Disease ◽  
Risk Groups

scholarly journals Use of Routine Echocardiographic Screening for Structural Heart Disease in At-Risk Pregnant Women in India

2020 ◽  
Author(s):  
Amisha Patel ◽  
Lauren S. Ranard ◽  
Nicole Aranoff ◽  
Hussein Rahim ◽  
Roja Vanukuru ◽  
...  
Keyword(s):  
At Risk ◽  
Heart Disease ◽  
Pregnant Women ◽  
Structural Heart Disease ◽  
Women In India

Cardiovascular outcomes of pregnancy in Turner syndrome

Heart ◽  
2020 ◽  
Vol 107 (1) ◽  
pp. 61-66
Author(s):  
Jasmine Grewal ◽  
Anne Marie Valente ◽  
Alexander C Egbe ◽  
Fred M Wu ◽  
Eric V Krieger ◽  
...  
Keyword(s):  
Heart Disease ◽  
Aortic Dissection ◽  
Pregnant Women ◽  
Turner Syndrome ◽  
Structural Heart Disease ◽  
Risk Category ◽  
Hypertensive Disorder ◽  
Time Period ◽  
Increased Risk ◽  
American Society

ObjectivesWomen with Turner syndrome (TS) are frequently counselled against pregnancy due to lack of data and unclear aortic dissection risk. However, with advances in fertility therapy, more women with TS are contemplating pregnancy. This study compared rates of adverse cardiovascular (CV) outcomes among: (1) pregnant and non-pregnant women with TS and (2) pregnant women with TS with/without structural heart disease.MethodsRetrospective analysis of pregnant and age-matched non-pregnant controls with TS (2005–2017) across 10 CV centres was done. Data were collected at initial evaluation in pregnancy and outcomes were assessed to 6 months postpartum. Adverse CV events were defined as CV death, aortic dissection/rupture and/or aortic intervention. Non-pregnant age-matched controls were followed over the same time period.ResultsSixty-eight pregnancies were included (60 women, mean age 33 years, 48% primigravid, 49% fertility therapy, 80% structurally normal heart, 25% XO karyotype). Based on American Society of Reproductive Medicine criteria, 10 pregnancies occurred in women stratified to high-risk category. There were no CV events in the pregnant women or in the non-pregnant women with TS. Obstetric events complicated 12 (18%) pregnancies with 9 (13%) attributed to hypertensive disorder of pregnancy. Fetal events included small for gestational age neonates (18%), preterm delivery (15%) and fetal death (3%).ConclusionsThis study helps to refine the approach to pregnancy in women with TS. Among women with TS without structural heart disease, pregnancy does not impose an increased risk of CV outcomes. Among women with TS with structural heart disease, the risk of pregnancy is not as prohibitive as previously described but does require ongoing evaluation.

scholarly journals CARDIAC MATERNAL MORTALITY IN THE DEVELOPING WORLD: SCREENING PREGNANT WOMEN IN HYDERABAD, INDIA FOR STRUCTURAL HEART DISEASE

2021 ◽  
Vol 77 (18) ◽  
pp. 3391
Author(s):  
Amisha Patel ◽  
Lauren Ranard ◽  
Nicole Aranoff ◽  
A. Harika Manga ◽  
Susheel Kodali ◽  
...  
Keyword(s):  
Heart Disease ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Developing World ◽  
Structural Heart Disease

Assessment of the right ventricle in pregnant women with and without structural heart disease

2013 ◽  
Vol 168 (3) ◽  
pp. 3087 ◽  
Author(s):  
Jérôme Cornette ◽  
Titia P.E. Ruys ◽  
Jolien W. Roos-Hesselink
Keyword(s):  
Heart Disease ◽  
Right Ventricle ◽  
Pregnant Women ◽  
Structural Heart Disease ◽  
The Right

Perinatal outcome of congenital heart disease in a population with high consanguinity

2015 ◽  
Vol 43 (6) ◽  
Author(s):  
Mohamed A. Hamdan ◽  
Fares Chedid ◽  
Gharid N. Bekdache ◽  
Muzibunissa Begam ◽  
Walaa Alsafi ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Congenital Heart ◽  
Chart Review ◽  
Primary Outcome ◽  
Fetal Echocardiography ◽  
Retrospective Chart Review ◽  
High Accuracy

AbstractTo report the perinatal pattern and outcome of fetuses with congenital heart disease (CHD) in consanguineous marriages.Retrospective chart review was performed for fetuses undergoing fetal echocardiography (FE) in our institution. The primary outcome was survival at 28 days after birth.Between 1 January 2005 and 31 December 2010, 1950 pregnant women carrying 2151 fetuses underwent a total of 2828 FEs. CHD was diagnosed in 152 fetuses (7.1%), and perinatal outcome was available in 120, among which 78 (65%) had consanguineous parents. Thirteen fetuses diedJoint FE clinics detect most CHD with high accuracy. Consanguinity contributes to a higher prevalence of fetal cardiac and non-cardiac malformations. The presence of extracardiac anomalies is associated with an increase in perinatal mortality.

CARDIAC ARRHYTHMIAS DURING PREGNANCY: A CLINICAL APPROACH

2011 ◽  
Vol 22 (2) ◽  
pp. 123-143 ◽  
Author(s):  
ZACHARY LAKSMAN ◽  
LOUISE HARRIS ◽  
CANDICE K SILVERSIDES
Keyword(s):  
Heart Disease ◽  
Pregnant Women ◽  
Cardiac Disease ◽  
Cardiac Arrhythmias ◽  
De Novo ◽  
Structural Heart Disease ◽  
Clinical Approach ◽  
History Of ◽  
In Pregnancy

Physiologic changes in maternal haemodynamics, hormones and autonomic properties contribute to arrhythmias in pregnancy. While arrhythmias most commonly occur in pregnant women with structural heart disease or those with a history of cardiac arrhythmias, they can also occur de novo in women with no documented cardiac disease.

P2533Prospective randomized study on implanted cardiac rhythm recorders in pregnant women with symptomatic arrhythmia and/or structural heart disease

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C A Viljoen ◽  
K Sliwa ◽  
F Azibani ◽  
M R Johnson ◽  
J Baard ◽  
...  
Keyword(s):  
At Risk ◽  
Heart Disease ◽  
Pregnant Women ◽  
Standard Care ◽  
Low Birthweight ◽  
Structural Heart Disease ◽  
Holter Monitoring ◽  
Study Groups ◽  
Direct Result ◽  
The Impact

Abstract Background Cardiac arrhythmia is an important cause of maternal morbidity and mortality in pregnancy, but is difficult to diagnose. Purpose The aim of this single-centre, prospective, randomized pilot study was to compare the implantable loop recorder (ILR) with standard assessment of arrhythmia (12-lead ECG; 24-hour Holter ECG) in terms of acceptability, detection of arrhythmias and impact on outcome in pregnant women with symptomatic arrhythmias and/or structural heart disease (SHD). Methods The study recruited 40 consecutive patients from a weekly, dedicated cardiac obstetric clinic. Inclusion criteria: symptoms of arrhythmia and/or having SHD at risk of arrhythmia. Patients were randomized to either standard care (SC) or standard care plus ILR (SC-ILR). ILR recordings were read at the monthly visits and/or when presenting with symptoms. Results There were no demographic differences between the study groups. Seventeen patients consented to ILR insertion, all of whom found the procedure acceptable. No arrhythmias were recorded by the 12-lead ECGs. Holter monitoring detected arrhythmias in 10 of 23 patients (43%) from the SC group. In the SC-ILR group, 8 of 17 patients (47%) had arrhythmias detected by Holter, whereas 13 of 17 patients (76%) patients had arrhythmias detected by ILR (p=0.157). One of 4 patients with supraventricular tachycardia, 2 of 3 patients with premature ventricular complexes and 2 patients with paroxysmal atrial fibrillation (AF) recorded by ILR did not have the arrhythmias detected by Holter monitoring (Figure 1A shows a scatter plot of the variable R-R intervals seen in AF and 1B a rhythm strip of AF with irregular RR intervals and the absence of P waves, both downloaded from the ILR). Four of these 5 patients (80%) had a change in management as a direct result of their ILR recordings. There were no maternal deaths up to 42 days postpartum in either of the study groups. Nine babies were born with a low birthweight (<2500g), 5 stillbirth/neonatal deaths and 1 pregnancy termination occurred (5 in the Holter group and 1 in ILR group, p=0.37). Figure 1 Conclusion(s) This study suggests that an ILR is an acceptable diagnostic modality in pregnant women with a suspected or at risk of arrhythmia. The ILR increased the diagnostic yield to detect arrhythmias that were not detected by routine ECG and Holter monitoring which led to a change in management in the SC-ILR group and was associated with better maternal and neonatal outcomes. The impact of ILR monitoring should be further assessed in larger studies with longer follow up.

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