The Use of Echocardiography and Advanced Cardiac Ultrasonography During Pregnancy.

The Use of Echocardiography and Advanced Cardiac Ultrasonography During Pregnancy.
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DOI:
10.1007/s11936-019-0785-5
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发表时间:
2019-11-21
影响因子:
--
通讯作者:
Zakaria S
Zakaria S
中科院分区:
其他
文献类型:
--
作者:
O'Kelly AC;Sharma G;Vaught AJ;Zakaria S

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怀孕是心血管发生显着变化的时期。超声心动图是用于评估妊娠期间心血管解剖和生理学的主要成像方式。二维 (2D) 超声心动图和先进的心脏超声检查在识别和监测这些变化方面发挥着关键作用,特别是对于患有既往心脏病或新发心脏病的女性。本文综述了超声心动图和先进心脏超声在正常妊娠和妊娠合并高血压疾病、瓣膜疾病和心肌病期间的作用。它还检查了超声心动图在指导分娩决策中的作用。建立怀孕期间正常回声参数的数据不一致。此外,探索先进心脏超声模式(例如组织多普勒成像或斑点跟踪超声心动图)在评估妊娠期间心脏功能中的作用的研究有限。现有数据表明,这些先进的方法可用于在传统超声心动图之前识别亚临床变化,因此在识别妊娠早期异常心脏反应方面具有明显的实用性。超声心动图是孕妇心脏成像的首选方式。先进的超声模式在识别妊娠异常适应和检测亚临床变化方面越来越发挥作用。反过来,这可以帮助促进母亲和胎儿的健康怀孕。
Pregnancy is a time of significant cardiovascular change. Echocardiography is the primary imaging modality used to assess cardiovascular anatomy and physiology during pregnancy. Both two-dimensional (2D) echocardiography and advanced cardiac ultrasound modalities play pivotal roles in identifying and monitoring these changes, especially in women with preexisting or new cardiac disease. This paper reviews the role of echocardiography and advanced cardiac ultrasound during normal pregnancy and pregnancy complicated by hypertensive disorders, valvular disorders, and cardiomyopathy. It also examines the role of echocardiography in guiding decisions about delivery. The data establishing normal echo parameters during pregnancy are inconsistent. In addition, there is limited research exploring the role of advanced cardiac ultrasound modalities, such as tissue Doppler imaging or speckle tracking echocardiography, in assessing cardiac function during pregnancy. What data there are suggest that these advanced modalities can be used to identify subclinical changes before traditional echocardiography can, and thus have clear utility in identifying early abnormal cardiac responses to pregnancy. Echocardiography is the modality of choice for imaging the heart in pregnant women. Advanced ultrasound modalities increasingly play a role in identifying abnormal adaptations to pregnancy and detecting subclinical changes. This, in turn, can help promote a healthy pregnancy for both mother and fetus.
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