Valvular Heart Disease in Pregnancy
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):13-23. doi: 10.14797/mdcvj.1323. eCollection 2024.ABSTRACTValvular heart disease is a common cause of peripartum cardiovascular morbidity and mortality. The hemodynamic changes of pregnancy and their impact on preexisting valvular lesions are described in this paper. Tools for calculation of maternal and fetal risk during pregnancy are also discussed. The pathophysiology and management of valvular lesions, both obstructive and regurgitant, are then described, followed by discussion of mechanical and bioprosthetic valve complications during pregnancy.PMID:38495658 | PMC:PMC1...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Hilary Shapiro Laith Alshawabkeh Source Type: research

Cardiac Hydatid Cyst: A Rare but Potentially Life-Threatening Presentation of Hydatid Disease
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):124-127. doi: 10.14797/mdcvj.1333. eCollection 2024.ABSTRACTCardiac echinococcosis is a rare and severe manifestation of hydatid disease. It is caused by parasitic infestation by the Echinococcus species and can lead to life-threatening complications. Diagnosis is difficult due to nonspecific symptoms, but echocardiography is a highly sensitive diagnostic method. Albendazole treatment is effective in managing these cysts and can be an alternative to surgery. A patient with multiple cardiac hydatid cysts was successfully treated with albendazole, highlighting the importance ...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Kanhai Lalani M Sudhakar Rao R Padmakumar Pankti Parikh M V Ashwini Ujwal Teja Dhulipalla Source Type: research

Hypertensive Disorders of Pregnancy
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):4-12. doi: 10.14797/mdcvj.1305. eCollection 2024.ABSTRACTAccording to the American College of Obstetricians and Gynecologists (ACOG), women who have a systolic blood pressure ≥ 140 mm Hg and/or a diastolic pressure ≥ 90 mm Hg before pregnancy or before 20 weeks of gestation have chronic hypertension. Up to 1.5% of women in their childbearing years have a diagnosis of chronic hypertension, and 16% of pregnant women develop hypertension during their pregnancy. Physiological cardiovascular changes from pregnancy may mask or exacerbate hypertensive diseases during gestation...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Courtney Newman Victoria Petruzzi Pedro T Ramirez Christopher Hobday Source Type: research

Cardiomyopathies in Women
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):59-69. doi: 10.14797/mdcvj.1368. eCollection 2024.ABSTRACTHeart failure affects over 2.6 million people in the United States. While women have better overall survival rates, they also suffer from higher morbidity as shown by higher rates of hospitalization and worse quality of life. Several anatomical differences in women's hearts affect both systolic and diastolic cardiac physiology. Despite these findings, women are significantly underrepresented in clinical trials, necessitating extrapolation of data from males. Because women have sex-specific etiologies of heart failure...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Cindy M Martin Source Type: research

High-Risk Congenital Heart Disease in Pregnancy
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):24-35. doi: 10.14797/mdcvj.1306. eCollection 2024.ABSTRACTHigh-risk congenital heart disease (CHD) in pregnancy presents a complex clinical challenge. With improved medical care and increased survival rates, a growing population of adults with complex CHD are surviving to adulthood, including women of reproductive age. This chapter focuses on risk stratification and management of pregnant women with high-risk CHD, emphasizing the importance of considering both anatomical and physiological complexity. Maternal physiological changes, such as blood volume increase, cardiac out...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Saurabh Rajpal Carla P Rodriguez Source Type: research

Country Living
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):132-134. doi: 10.14797/mdcvj.1356. eCollection 2024.ABSTRACTPhilip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Philip Alexander Source Type: research

Pulmonary Hypertension in Women
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):70-80. doi: 10.14797/mdcvj.1308. eCollection 2024.ABSTRACTPulmonary arterial hypertension (PAH) is a rare devastating disease characterized by elevated pulmonary artery pressure and increased pulmonary vascular resistance. Females have a higher incidence of PAH, which is reflected globally across registries in the United States, Europe, and Asia. However, despite female predominance, women had better outcomes compared with male patients, a finding that has been labeled the "estrogen paradox." Special considerations should be given to women with PAH regarding sexual health, ...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Eunwoo Park Zeenat Safdar Source Type: research

Women and the Heart: Gender-Related Differences in Cardiovascular Care
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):1-3. doi: 10.14797/mdcvj.1366. eCollection 2024.NO ABSTRACTPMID:38495665 | PMC:PMC10941684 | DOI:10.14797/mdcvj.1366 (Source: Methodist DeBakey Cardiovascular Journal)
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Valeria E Duarte Source Type: research

The Impact of Pregnancy in Patients with Thoracic Aortic Disease: Epidemiology, Risk Assessment, and Management Considerations
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):51-58. doi: 10.14797/mdcvj.1371. eCollection 2024.ABSTRACTThoracic aortic disease (TAD) poses substantial risks during pregnancy, particularly for women with genetic conditions such as Marfan syndrome, Loeys-Dietz syndrome, and vascular Ehlers-Danlos syndrome. This review examines the epidemiology, risk assessment, and management of TAD in pregnancy. Preconception counseling is vital considering the hereditary nature of TAD and potential pregnancy-related complications. Genetic testing and imaging surveillance aid in risk assessment. Medical management, including beta-block...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Valeria E Duarte Jessica N Richardson Michael N Singh Source Type: research

Primary Prevention of Cardiovascular Disease in Women
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):94-106. doi: 10.14797/mdcvj.1313. eCollection 2024.ABSTRACTCardiovascular disease (CVD) remains a leading cause of mortality in women, necessitating innovative primary prevention strategies. Contemporary guidelines on primary prevention of CVD highlight the increasing prevalence of CVD risk factors and emphasize the significance of female-specific risk enhancers that substantially augment the future risk of CVD. These risk factors occur throughout a woman's life cycle, such as hormonal contraception, hypertensive disorders of pregnancy, and menopause, all of which confer an...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Izza Shahid Eleonora Avenatti Anoop Titus Sadeer Al-Kindi Khurram Nasir Source Type: research

Caring for Patients with Gestational Hypertensive Disorders: Essential Takeaways
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):120-123. doi: 10.14797/mdcvj.1311. eCollection 2024.ABSTRACTHypertensive disorders in pregnancy (HDP) are a group of conditions-including chronic hypertension, gestational hypertension, preeclampsia with and without end-organ damage, and acute complications, which include HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome and eclampsia-that could lead to severely adverse outcomes for both mother and fetus. The incidence of HDP has increased, affecting one out of seven delivery hospitalizations. Physicians should be aware of HDP for early identification an...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Paola Gomez-Aviles Alfredo F Gei Pavel Martinez-Dominguez Source Type: research

An Overview of Arrhythmias in Pregnancy
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):36-50. doi: 10.14797/mdcvj.1325. eCollection 2024.ABSTRACTCardiovascular disease significantly jeopardizes pregnancies in the United States, impacting 1% to 4% of pregnancies annually. Among complications, cardiac arrhythmias are prevalent, posing concerns for maternal and fetal health. The incidence of arrhythmias during pregnancy is rising, partly due to advances in congenital heart surgery and a growing population of women with structural heart disease. While most arrhythmias are benign, the increasing prevalence of more serious arrhythmias warrants a proactive approach....
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Kamala P Tamirisa Estefania Oliveros Shweta Paulraj Adriana C Mares Annabelle Santos Volgman Source Type: research

When I Am Asked: Lisel Mueller's Beginning in Poetry
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):128-131. doi: 10.14797/mdcvj.1335. eCollection 2024.ABSTRACTWhy does anyone write poetry? Lisel Mueller (1924-2020) was a poet, author, and translator with a long and much-decorated career. She and her family fled Nazi Germany in the 1930s and emigrated to the United States, where she would establish herself as a writer. The poem "When I Am Asked" describes the beginning of her journey into poetry, undertaken during a period of grief after the death of her mother. Her writing would come to include nine collections of poetry and myriad accolades, including the 1981 National ...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Justin C Cordova James B Young Source Type: research

Sex Disparities in Cardiovascular Disease
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):107-119. doi: 10.14797/mdcvj.1328. eCollection 2024.ABSTRACTCardiovascular disease is the leading cause of death in women. It remains underdiagnosed, undertreated, and portends worse outcomes in women than men. Disparities exist in every stage of science, from bench research to the editorial board of major journals and in every cardiovascular subspecialty. This review summarizes differences in cardiovascular risk factors and disparities in management and outcomes of ischemic heart disease, heart failure, aortic stenosis, and atrial fibrillation. It also provides an overview...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Madeline K Mahowald Khadeeja Esmail Fatima M Ezzeddine Calvin Choi Hanna Mieszczanska Gladys Velarde Source Type: research

Spectrum of Ischemic Heart Disease Throughout a Woman's Life Cycle
This article reviews the spectrum of IHD including obstructive epicardial coronary artery disease (CAD), myocardial infarction with no obstructive coronary artery disease, ischemia with no obstructive coronary artery disease, spontaneous coronary artery dissection, coronary microvascular dysfunction, vasospastic angina, and coronary thrombosis/embolism that occur in women throughout various stages of their life cycle. We aim to update clinicians on the diagnosis and management of these various types of IHD and highlight where further randomized controlled studies are needed to determine optimal treatment and inform guideli...
Source: Methodist DeBakey Cardiovascular Journal - March 18, 2024 Category: Cardiology Authors: Smitha Narayana Gowda Sai Sita Garapati Karla Kurrelmeyer Source Type: research