Diagnostic Angiograms and Percutaneous Coronary Interventions in Pregnancy

Author:

Khaing Phyo Htet1,Buchanan Gill Louise2,Kunadian Vijay3

Affiliation:

1. Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK

2. North Cumbria Integrated Care NHS Foundation Trust, Cumbria, UK

3. Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK; Cardiothoracic Centre, Freeman Hospital, Newcastle Upon Tyne, UK

Abstract

Cardiovascular disease is the leading indirect cause of maternal mortality in the UK. Pregnancy increases the risk of acute MI (AMI) by three- to fourfold secondary to the profound physiological changes that place an extra burden on the cardiovascular system. AMI is not always recognised in pregnancy and there is concern among both clinicians and patients regarding catheter-based interventions due to fears of foetal irradiation and risks to the foetus. This article evaluates the current state of knowledge on AMI in pregnancy with particular emphasis on pregnancy-associated spontaneous coronary artery dissection and percutaneous coronary intervention as the revascularisation procedure for AMI. Special considerations that must be made in patients requiring percutaneous coronary intervention for pregnancy-associated spontaneous coronary artery dissection and the current recommendations on arterial access, methods of minimising radiation and stent selection are discussed.

Publisher

Radcliffe Group Ltd

Subject

Cardiology and Cardiovascular Medicine

Reference81 articles.

1. Ouzounian JG, Elkayam U. Physiologic changes during normal pregnancy and delivery. Cardiol Clin 2012;30:317–29. https://doi.org/10.1016/j.ccl.2012.05.004; PMID: 22813360.

2. Chapman AB, Abraham WT, Zamudio S, et al. Temporal relationships between hormonal and hemodynamic changes in early human pregnancy. Kidney Int 1998;54:2056–63. https://doi.org/10.1046/j.1523-1755.1998.00217.x; PMID: 9853271.

3. Nelson-Piercy C, Chakravarti S. Cardiac disease and pregnancy. Anaesthesia & Intensive Care Medicine 2007;8:312–6. https://doi.org/10.1016/j.mpaic.2007.05.008

4. Knight M, Nair M, Tuffnell D, et al. Saving Lives, Improving Mothers’ Care. Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–2015. Oxford: National Perinatal Epidemiology Unit, University of Oxford, 2017.

5. Royal College of Obstetricians and Gynaecologists. Cardiac Disease and Pregnancy (Good Practice No. 13). London: RCOG, 2011.

Cited by 9 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Acute coronary syndromes in pregnancy: a literature review;The Obstetrician & Gynaecologist;2023-04

2. Cardiac Arrest in Pregnancy: Simulation and Skills;Practical Guide to Simulation in Delivery Room Emergencies;2023

3. Acute Coronary Syndrome in Pregnancy;Contemporary Topics in Cardio-Obstetrics;2023

4. Acute Myocardial Infarction in Pregnancy;Current Problems in Cardiology;2022-11

5. Myocardial infarction in pregnancy: Current topical issues in diagnostics and treatment;Medical alphabet;2022-06-04

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3