Diagnostic Cardiovascular Imaging and Therapeutic Strategies in Pregnancy: JACC Focus Seminar 4/5

Natalie A Bello; C Noel Bairey Merz; Haywood Brown; Melinda B Davis; Neal W Dickert; Stephanie C El Hajj; Cindy Giullian; Odayme Quesada; Ki Park; Rupa M Sanghani; Leslee Shaw; Annabelle Santos Volgman; Nanette K Wenger; Dominique Williams; Carl J Pepine; Kathryn J Lindley; American College of Cardiology Cardiovascular Disease in Women Committee and the Cardio-Obstetrics Work Group

doi:10.1016/j.jacc.2021.01.056

Diagnostic Cardiovascular Imaging and Therapeutic Strategies in Pregnancy: JACC Focus Seminar 4/5

J Am Coll Cardiol. 2021 Apr 13;77(14):1813-1822. doi: 10.1016/j.jacc.2021.01.056.

Authors

Natalie A Bello¹, C Noel Bairey Merz², Haywood Brown³, Melinda B Davis⁴, Neal W Dickert⁵, Stephanie C El Hajj⁶, Cindy Giullian⁷, Odayme Quesada⁸, Ki Park⁹, Rupa M Sanghani¹⁰, Leslee Shaw¹¹, Annabelle Santos Volgman¹⁰, Nanette K Wenger¹², Dominique Williams¹³, Carl J Pepine⁹, Kathryn J Lindley¹³; American College of Cardiology Cardiovascular Disease in Women Committee and the Cardio-Obstetrics Work Group

Affiliations

¹ Department of Medicine, Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA. Electronic address: nb338@cumc.columbia.edu.
² Barbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, California, USA.
³ Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, USA.
⁴ Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
⁵ Emory University School of Medicine, Atlanta, Georgia, USA; Emory Heart and Vascular Center, Atlanta, Georgia, USA.
⁶ ProMedica Physicians Cardiology, Toledo, Ohio, USA; Mayo Clinic, Rochester, Minnesota, USA.
⁷ HCA, Continental Division, Denver, Colorado, USA.
⁸ Barbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, California, USA; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio, USA.
⁹ Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
¹⁰ Division of Cardiology, Rush University Medical Center, Chicago, Illinois, USA.
¹¹ Department of Radiology and Medicine, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, New York, USA.
¹² Emory University School of Medicine, Emory Heart and Vascular Center, Emory Women's Heart Center, Atlanta, Georgia, USA.
¹³ Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.

Abstract

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 underrepresented 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 therapeutic 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.

Keywords: cardio-obstetrics; imaging; lactation; medication; pregnancy.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review

MeSH terms

Cardiovascular Agents / pharmacology*
Cardiovascular Diseases* / classification
Cardiovascular Diseases* / diagnosis
Cardiovascular Diseases* / drug therapy
Diagnostic Techniques, Cardiovascular* / adverse effects
Female
Humans
Lactation / drug effects
Pregnancy
Pregnancy Complications, Cardiovascular* / classification
Pregnancy Complications, Cardiovascular* / diagnosis
Pregnancy Complications, Cardiovascular* / drug therapy
Pregnancy, High-Risk
Risk Adjustment / methods

Substances

Cardiovascular Agents

Abstract

Publication types

MeSH terms

Substances

Grants and funding