Cardiac disease in pregnancy MRI

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Cardiac disease in pregnancy Microchapters

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Overview

Pathophysiology

Epidemiology and Demographics

Risk Factors

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Exercise Testing

Radiation Exposure

Chest X Ray

Echocardiography

MRI

CT

Catheterization:

Pulmonary artery catheterization
Cardiac catheterization
Cardiac Ablation

Treatment

Cardiovascular Drugs in Pregnancy

Labor and delivery

Resuscitation in Late Pregnancy

Contraindications to pregnancy

Special Scenarios:

I. Pre-existing Cardiac Disease:
Congenital Heart Disease
Repaired Congenital Heart Disease
Pulmonary Hypertension
Rheumatic Heart Disease
Connective Tissue Disorders
II. Valvular Heart Disease:
Mitral Stenosis
Mitral Regurgitation
Aortic Insufficiency
Aortic Stenosis
Mechanical Prosthetic Valves
Tissue Prosthetic Valves
III. Cardiomyopathy:
Dilated Cardiomyopathy
Hypertrophic Cardiomyopathy
Peripartum Cardiomyopathy
IV. Cardiac diseases that may develop During Pregnancy:
Arrhythmias
Acute Myocardial Infarction
Hypertension

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Lakshmi Gopalakrishnan, M.B.B.S. [3]

Overview

There are no known safety hazards associated with the performance of an MRI, especially after the first trimester.[1] However, data evaluating the safety of MRI during pregnancy is limited and an MRI is indicated only when other imaging modalities such chest x-ray and echocardiography are inconclusive.[2] Currently, the FDA recommends prudent use of MRI during pregnancy.

Contrast MRI using gadolinium is contraindicated as gadolinium crosses the trans-placental membrane and exposes the fetus to teratogenicity.

References

  1. De Wilde JP, Rivers AW, Price DL (2005). "A review of the current use of magnetic resonance imaging in pregnancy and safety implications for the fetus". Progress in Biophysics and Molecular Biology. 87 (2–3): 335–53. doi:10.1016/j.pbiomolbio.2004.08.010. PMID 15556670. Retrieved 2012-04-18.
  2. Shellock FG, Crues JV (2004). "MR procedures: biologic effects, safety, and patient care". Radiology. 232 (3): 635–52. doi:10.1148/radiol.2323030830. PMID 15284433. Retrieved 2012-04-18. Unknown parameter |month= ignored (help)


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