Looking into the Mechanistic Link Between Mitral Regurgitation and Atrial Fibrillation
Atrial functional mitral regurgitation (AFMR) can occur in patients with atrial fibrillation despite a preserved left ventricular systolic function. AFMR has received attention as a cause of heart failure; it is a therapeutic target in patients with heart failure with atrial fibrillation. Mitral annular dilatation from atrial fibrillation-induced left atrial dilatation is necessary for the generation of AFMR. Posterior mitral leaflet hamstringing also relates to the generation of AFMR. Further mitral annular dilatation owing to progressive left atrial and left ventricular dilatations, with mitral regurgitation-induced volu...
Source: Cardiology Clinics - March 23, 2021 Category: Cardiology Authors: Yukio Abe, Yosuke Takahashi, Toshihiko Shibata Source Type: research
The Importance of Cardiovascular Risk Assessment and Pregnancy Heart Team in the Management of Cardiovascular Disease in Pregnancy
Pregnancy-related maternal morbidity and mortality is increasing because of complications from cardiovascular disease. Pregnancy results in physiologic changes that can adversely impact the cardiovascular system and lead to adverse pregnancy outcomes. A multidisciplinary pregnancy heart team is essential to safely navigate women with heart disease through pregnancy. This role of the pregnancy heart team is to offer preconception counseling, determine pregnancy risks and educate women about those risks, develop a comprehensive antenatal and delivery plan, and ensure appropriate postpartum follow-up. These steps are importan...
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Garima Sharma, Wendy Ying, Candice K. Silversides Source Type: research
Cardiovascular Testing and Imaging in Pregnant Women
This article describes various diagnostic imaging modalities that can be used in pregnancy, including indications, strengths, and limitations. (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Alina Brener, Joan Briller Source Type: research
Peripartum Cardiomyopathy
This article reviews recent data and recommendations for clinical practice in addition to highlighting the multiple knowledge gaps related to PPCM that warrant further investigation. (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Erika J. Douglass, Lori A. Blauwet Source Type: research
Delivering Coordinated Cardio-Obstetric Care from Preconception through Postpartum
Coordinated preconception through postpartum cardio-obstetrics care is necessary to optimize both maternal and fetal health. Maternal mortality in the United States is increasing, largely driven by increasing cardiovascular (CV) disease burden during pregnancy and needs to be addressed emergently. Both for women with congenital and acquired heart disease, CV complications during pregnancy are associated with increased future risk of CV disease. Comprehensive cardio-obstetrics care is a powerful way of ensuring that women ’s CV risks before and during pregnancy are appropriately identified and treated and that they remain...
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Anna C. O ’Kelly, Nandita Scott, Doreen DeFaria Yeh Source Type: research
Arrhythmias and Pregnancy
Arrhythmias are the most common cardiovascular complication of pregnancy in women with and without structural heart disease. Appropriate maternal diagnosis and management is of utmost importance to optimize maternal and fetal outcomes. A multidisciplinary care approach with cardiology, maternal fetal medicine, anesthesia, and pediatrics is important for preconceptional, pregnancy, and delivery planning. (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Dominique S. Williams, Krasimira Mikhova, Sandeep Sodhi Source Type: research
Pregnancy and Heart Disease
CARDIOLOGY CLINICS (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Authors: Melinda B. Davis, Kathryn J. Lindley Source Type: research
Copyright
ELSEVIER (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Source Type: research
Contributors
JAMIL A. ABOULHOSN, MD, FACC, FSCAI (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Source Type: research
Contents
Melinda B. Davis and Kathryn J. Lindley (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Source Type: research
Forthcoming Issues
Mitral Valve Disease (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 20, 2020 Category: Cardiology Source Type: research
Valvular Heart Disease in Pregnancy
Valvular heart disease (VHD) is generally well tolerated during pregnancy; however, the dramatic changes in hemodynamics that occur during pregnancy can lead to clinical decompensation in high-risk women. Women with VHD considering pregnancy should undergo preconception counseling with a high-risk obstetrician and cardiologist to review the maternal, fetal, and obstetric risks of pregnancy and delivery. Vaginal delivery is recommended for most women with VHD. Given the complexity of managing VHD during pregnancy, women should be managed by a multidisciplinary Pregnancy Heart Team during pregnancy, consisting of a high-risk...
Source: Cardiology Clinics - November 2, 2020 Category: Cardiology Authors: Jennifer Lewey, Lauren Andrade, Lisa D. Levine Source Type: research
Cardiovascular Contribution to Maternal Mortality
This article addresses knowledge gaps related to the treatment of heart disease in pregnancy, initiatives to address these gaps, and guidelines and best practices surrounding the care of women affected by cardiovascular disease and their babies affected by cardiovascular disease. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 31, 2020 Category: Cardiology Authors: Anna Grodzinsky, Laura Schmidt Source Type: research
Hypertensive Disorders of Pregnancy
This article details hemodynamic adaptations to pregnancy and provides an approach to the prevention, diagnosis, and management of hypertensive disorders of pregnancy (HDP) and hypertensive emergencies. In addition, it reviews optimal strategies for the care of women with hypertension during the fourth trimester and beyond to minimize future cardiovascular risk. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 31, 2020 Category: Cardiology Authors: Apurva M. Khedagi, Natalie A. Bello Source Type: research
Ischemic Heart Disease in Pregnancy
The reported incidence of ischemic heart disease in pregnancy is 2.8 to 6.2 per 100,000 pregnancies. Although additional factors, such as maternal diabetes, obesity, and hypertension, are risk factors for ischemic heart disease, pregnancy itself more than doubles the risk for acute myocardial infarction. Given the increasing clinical importance of ischemic heart disease during pregnancy, this article addresses underlying pathophysiology, risk stratification, screening, and diagnosis of ischemic heart disease, as well as recommendations for management of acute myocardial infarction during pregnancy and the early postpartum ...
Source: Cardiology Clinics - October 31, 2020 Category: Cardiology Authors: Charishma Nallapati, Ki Park Source Type: research
