Document Detail

Coronary angiography and percutaneous interventions in pregnancy.
MedLine Citation:
PMID:  23018475     Owner:  NLM     Status:  In-Data-Review    
Pregnancy and the need for cardiac catheterization poises a unique challenge that requires the balance of risk and benefit both to the mother and the fetus. Fortunately, the need for radiological invasive procedures for cardiac diagnosis has been markedly reduced with the widespread growth in imaging technology using non-ionizing energies such as ultrasound for diagnosis of underlying cardiac pathology. As the age of active childbearing has increased in many countries, an increasing overlap has developed with the childbearing overlapping the early years of acute coronary artery disease. Both acute coronary syndromes and classic congenital valve disorders are increasingly being treated successfully with invasive cath lab technologies that require some degree of risk to the pregnancy. We review the pathophysiology of both valvular and coronary pathologies that may become symptomatic or acutely decompensated and require consideration for invasive cardiac therapy. Potential risks both from radiation, acute medication use and potential need for longer term oral medications resulting from the invasive cardiac procedures are reviewed. Final specific measures to reduce the risks most pertinent to pregnancy are discussed. While risks are present during pregnancy that are unique, emergently indicated invasive cardiac procedures should not be denied or delayed solely on the pregnant state as many of these procedures have highly time responsive benefits that can be lost by irrational delays.
A D Pradhan; G K Visweswaran; I C Gilchrist
Related Documents :
19492945 - First report of an orientia tsutsugamushi type ta716-related scrub typhus infection in ...
24498805 - Pregnancy in mothers with prosthetic heart valves.
23180625 - Fetal cardiac catheterization using a percutaneous transhepatic access technique: preli...
17187835 - Goats may experience reproductive failures and shed coxiella burnetii at two successive...
20639475 - Pulse pressure and arterial compliance prior to pregnancy and the development of compli...
7641125 - Preeclampsia in multiple pregnancy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva ginecologica     Volume:  64     ISSN:  0026-4784     ISO Abbreviation:  Minerva Ginecol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400731     Medline TA:  Minerva Ginecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  345-59     Citation Subset:  IM    
Heart and Vascular Institute, Penn State Hershey Medical Center, Hershey, PA, USA -
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Reduced quality-of-life ratings in mild cognitive impairment: analyses of subject and informant resp...
Next Document:  Peripartum cardiomyopathy. An update.