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