Structural and functional heart features in pregnancy with concomitant cardiovascular diseases
https://doi.org/10.51793/OS.2021.24.7.004
Abstract
In a healthy woman with a normal pregnancy, structural and functional changes in the heart are adaptive in nature, are slight and are completely normalized after childbirth. A pregnant woman with heart diseases has reduced adaptive capacity, therefore, at any stage of pregnancy, pathological changes can occur that complicate its course and lead to adverse outcomes. In addition, any pregnancy may develop new heart diseases, which can be fatal. That is why an echocardiographic assessment of structural and functional changes in the heart is necessary both during normal pregnancy and in the background of concomitant cardiovascular diseases.
About the Authors
A. A. Arakelyants
I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Moscow
T. E. Morozova
I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Moscow
E. A. Barabanova
I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Moscow
E. O. Samokhina
I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Россия
Россия
Moscow
References
1. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy // European Heart Journal. 2018; 39 (34): 3165-3241. DOI: 10.1093/eurheartj/ehy340ESC.
2. Diagnostika i lechenie serdechno-sosudistykh zabolevanii pri beremennosti 2018. Natsional'nye rekomendatsii. Razrabotany Komitetom ekspertov Rossiiskogo kardiologicheskogo obshchestva (RKO). Sektsiia zabolevaniia serdechno-sosudistoi sistemy u beremennykh [Diagnosis and treatment of cardiovascular diseases during pregnancy 2018. National guidelines. Developed by the Committee of experts of the Russian society of cardiology (RSC). Section of cardiovascular diseases in pregnant women] // Rossiiskii kardiologicheskii zhurnal. 2018; 3 (155): 91-134. (In Russian.) DOI: 10.15829/1560-4071-2018-3-91-134.
3. Tsiaras S., Poppas A. Cardiac disease in pregnancy: value of echocardiography // Curr Cardiol Rep. 2010; 12 (3): 250-256. DOI: 10.1007/s11886-010-0106-9.
4. Narayanan M., Elkayam U., Naqvi T. Z. Echocardiography in Pregnancy: Part 2 // Curr Cardiol Rep. 2016; 18 (9): 90. DOI: 10.1111/echo.13242.
5. Savu O., Jurcuţ R., Giuşcă S., van Mieghem T. et al. Morphological and functional adaptation of the maternal heart during pregnancy // Circ Cardiovasc Imaging. 2012; 5 (3): 289-297. DOI: 10.1161/CIRCIMAGING.111.970012.
6. Li J., Umar S., Amjedi M., Iorga A., Sharma S., Nadadur R. D., Regitz-Zagrosek V., Eghbali M. New frontiers in heart hypertrophy during pregnancy // Am J Cardiovasc Dis. 2012; 2 (3): 192-207.
7. Schannwell C. M., Zimmermann T., Schneppenheim M., Plehn G., Marx R., Strauer B. E. Left Ventricular Hypertrophy and Diastolic Dysfunction in Healthy Pregnant Women // Cardiology. 2002; 97: 73-78. DOI: 10.1159/000057675.
8. Cong J., Fan T., Yang X., Squires J. W., et al. Structural and functional changes in maternal left ventricle during pregnancy: a three-dimensional speckle-tracking echocardiography study // Cardiovasc Ultrasound. 2015; 13: 6. DOI:10.1186/1476-7120-13-6.
9. De Haas S., Ghossein-Doha C., Geerts L., van Kuijk S. M. J., van Drongelen J., Spaanderman M. E. A. Cardiac remodeling in normotensive pregnancy and in pregnancy complicated by hypertension: systematic review and meta-analysis // Ultrasound Obstet Gynecol. 2017; 50 (6): 683-696. DOI: 10.1002/uog.17410.
10. Arany Z. Understanding Peripartum Cardiomyopathy // Annu Rev Med. 2018; 69: 165-176. DOI: 10.1146/annurevmed-041316-090545.
11. Bauersachs J., Arrigo M., Hilfiker-Kleiner D., Veltmann C., et al. Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy // Eur J Heart Fail. 2016; 18 (9): 1096-105. DOI: 10.1002/ejhf.586.
12. Nanna M., Stergiopoulos K. Pregnancy Complicated by Valvular Heart Disease: An Update // Journal of the American Heart Association. June 2014, Wolters Kluwer Health. DOI: 10.1161/jaha.113.000712.
13. Pessel C., Bonanno C. Valve disease in pregnancy // Semin Perinatol. 2014; 38 (5): 273-284. S0146-0005(14)00034-2.10.1053/j.semperi.2014.04.016.
14. Leśniak-Sobelga A., Tracz W., Kostkiewicz M., Podolec P., Pasowicz M. Clinical and echocardiographic assessment of pregnant women with valvular heart diseases- maternal and fetal outcome // Int J Cardiol. 2004; 94 (1): 15-23. OpenUrl CrossRef PubMed.
15. Roeder H. A., Kuller J. A., Barker P. C., James A. H. Maternal valvular heart disease in pregnancy // Obstet Gynecol Surv. 2011; 66 (9): 561-571. DOI:10.1097/OGX.0b013e318238605d.
16. Windram J. D., Colman J. M., Wald R. M., Udell J. A., Siu S. C., Silversides C. K. Valvular heart disease in pregnancy // Best Pract Res Clin Obstet Gynaecol. 2014; 28 (4): 507-518. DOI: 10.1016/j.bpobgyn.2014.03.009.
17. Shim W. J. Role of echocardiography in the management of cardiac disease in women // J Cardiovasc Ultrasound. 2014; 22 (4): 173-179. DOI: 10.4250/jcu.2014.22.4.173.
18. Gorokhova S. G., Morozova T. E., Arakeliants A. A., Barabanova E. A., D'iakonova E. G. Algoritm ekhokardiograficheskogo issledovaniia u beremennykh/ Algorithm of echocardiography in pregnant women // Russian Journal of Cardiology. 2018; (12): 75-83. (In Russian.)
Review
For citations:
Arakelyants A.A., Morozova T.E., Barabanova E.A., Samokhina E.O. Structural and functional heart features in pregnancy with concomitant cardiovascular diseases. Lechaschi Vrach. 2021;(7):18-23. (In Russ.) https://doi.org/10.51793/OS.2021.24.7.004
Views:
316
JATS XML
Email this article 
