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Imaging of Cardiovascular Disease in Pregnancy and the Peripartum Period

  • Pregnancy and Cardiovascular Disease (N Scott, Section Editor)
  • Published:
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Opinion statement

Cardiovascular disease is an important cause of morbidity and mortality during pregnancy and the postpartum period. During pregnancy, the cardiovascular system undergoes extensive hemodynamic, hormonal, and microstructural changes which may exacerbate a preexisting underlying cardiovascular condition or predispose to cardiovascular complications not typically seen in young healthy women. Such conditions include spontaneous coronary artery dissection, atherosclerotic coronary artery disease, and peripartum cardiomyopathy. When evaluating this patient population, the diagnostic strategy should be tailored to specifically assess this distinct disease spectrum. The choice of imaging techniques must also consider potential risks to both the mother and child; a unique challenge of diagnostic imaging during pregnancy. The risk of radiation from radiography, computed tomography, and nuclear medicine imaging; iodinated and gadolinium-based contrast media for computed tomography and magnetic resonance imaging respectively; and heat deposition from sonography are of special importance during pregnancy. A thorough understanding of pregnancy-specific cardiovascular complications and the capabilities and risks of available diagnostic imaging modalities is crucial to appropriately manage the pregnant patient.

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Authors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Founders 216, Boston, MA, 02114, USA

    Theodore Pierce MD

  2. Department of Cardiothoracic Radiology, Mount Sinai School of Medicine – BISLR, 1000 Tenth Avenue, New York, NY, 10019, USA

    Meline Hovnanian MD

  3. Division of Cardiovascular Imaging, Massachusetts General Hospital - Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA

    Sandeep Hedgire MD & Brian Ghoshhajra MD, MBA

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  1. Theodore Pierce MD
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Theodore Pierce, Meline Hovnanian, and Sandeep Hedgire each declare no potential conflicts of interest.

Brian Ghoshhajra is a consultant for Medtronic and a consultant for Siemens.

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This article is part of the Topical Collection on Pregnancy and Cardiovascular Disease

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Pierce, T., Hovnanian, M., Hedgire, S. et al. Imaging of Cardiovascular Disease in Pregnancy and the Peripartum Period. Curr Treat Options Cardio Med 19, 94 (2017). https://doi.org/10.1007/s11936-017-0593-8

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