Echocardiography of the Pericardium in Pregnancy

Enein, M.; Zina, A. A. A.; Kassem, Mohamed; Eltabbakh, Georgia H.

doi:10.1097/00132582-198712000-00008

Cited by 8 publications

(11 citation statements)

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“…The effusion was attributed to excessive water and salt retention in women with a higher mean weight gain at the late stage of gestation (13.60 ± 4.28 vs 10.96 ± 3.7 kg; p < 0.03). Similar incidence of small or minimal pericardial effusion (38.1%) was noted, late in pregnancy, in 21 normal pregnant women, in the study of Enein et al [3]. Four patients had mild, three moderate, and two large pericardial effusion.…”

Section: Hydropericardium In Pregnancysupporting

confidence: 70%

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Pericardial Disease in Pregnancy

Ristić

Seferović

Ljubić³

et al. 2003

Herz

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Most pericardial disorders are managed during pregnancy as in nonpregnant patients (i.e., nonsteroidal antiinflammatory drugs for acute, antibiotics and drainage for purulent pericarditis, and corticosteroids for systemic autoimmune disorders). However, colchicine is contraindicated in pregnancy, and pericardiocentesis should be performed only for very large effusions causing clinical signs of cardiac tamponade or if presence of suppurative, tuberculous or neoplastic pericardial effusion is suspected. Echocardiographic guidance of pericardiocentesis is preferred to fluoroscopic guidance in order to avoid fetal X-ray exposure. Pericardiectomy should be reserved for significant pericardial constriction and resistant bacterial infections. Delivery of normal infants in term after pericardiocentesis or pericardiectomy is expected, whenever natural history of causative disease allows. Pericardiectomy itself is not a contraindication for subsequent successful pregnancies.

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Section: Hydropericardium In Pregnancysupporting

confidence: 70%

“…Four patients had mild, three moderate, and two large pericardial effusion. There was no correlation between the amount of pericardial effusion and red and white blood cell counts, hemoglobin level, total serum protein, serum albumin level, or albumin/globulin ratio [3].…”

Section: Hydropericardium In Pregnancymentioning

confidence: 77%

Pericardial Disease in Pregnancy

Ristić

Seferović

Ljubić³

et al. 2003

Herz

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“…Pericardial effusion is found in 15%, 19.2% and 40% of pregnant women in the first, second and third trimesters, respectively, and disappears spontaneously within 50–60 days after labor. An increase in total body fluid volume during the pregnancy is likely to be one of the mechanisms for this phenomenon .…”

Section: Introductionmentioning

confidence: 99%

Cardiac tamponade in pregnancy during the treatment of severe pre‐eclampsia: Report of a case

Matsuki

Nakago

Takaoka

et al. 2013

J of Obstet and Gynaecol

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We present a case of cardiac tamponade that occurred during the course of treatment for severe pre-eclampsia. A 37-year-old woman who underwent cesarean section for severe pre-eclampsia developed cardiac tamponade after delivery. While percutaneous pericardiocentesis temporarily improved her condition, pericardial effusion, dyspnea and tachycardia reappeared 5 days after delivery. A continuous drainage tube placed in the pericardial cavity for 5 days was required to maintain maternal cardiac function. Her clinical course was uneventful after continuous drainage and she was discharged 20 days after delivery. No such causes of symptomatic pericardial effusion were detected in the present case. Physicians should be aware of this complication when dyspnea is accompanied by tachycardia and enlargement of the cardiac silhouette with hypolucent lungs on chest X-ray. Immediate pericardiocentesis is also required to prevent life-threatening cardiac tamponade in such cases.

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“…It occurred in 31.3% of the patients with PIH and 16.7% in women with normal pregnancy in our study. Enein 8 found that 42.9% of the 21 women with normal pregnancy had PE and might be one of the factors responsible for the dyspnea or palpation feelings in pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Echocardiographic Study of Cardiac Morphological and Functional Changes before and after Parturition in Pregnancy‐Induced Hypertension

Yuan¹,

Duan²,

Cao³

2006

Echocardiography

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Purpose: To investigate the cardiac morphological and functional changes by echocardiography, before and after parturition in patients with pregnancy-induced hypertension (PIH). Methods: The parameters related to cardiac morphology and left ventricular diastolic and systolic functions were compared before and after parturition in 32 patients with PIH and 24 normal pregnant (NP) women. Results: Compared with NP women, the PIH patients had greater diameters of left atrium and left ventricle in end-diastole (LAd: 38.9 ± 4.5 vs 34.6 ± 4.4 mm, P = 0.0015; LVEDd: 51.2 ± 5.8 vs 47.1 ± 4.2 mm, P = 0.036) and lower E/A (1.2 ± 0.2 vs 1.4 ± 0.2, P = 0.009) and greater fractional shortening (FS) (39.8 ± 6.5% vs 37.1 ± 6.9%, P = 0.042) and ejection fraction (EF) (0.72 ± 0.07 vs 0.66 ± 0.08, P = 0.040). Pericardial effusion (PE) occurred in 31.3% and 16.7% of PIH and NP, respectively. The LAd and LVEDd in 70% and 47% patients with PIH resolved and PE disappeared in 80% of PIH patients postpartum. E/A ratio in PIH significantly increased after parturition, while the two patients with cardiac systolic dysfunction did not improve very much. Conclusions: Compared with normal pregnancy, the most significant cardiac morphological changes in PIH are the greater diameters of left atrium and left ventricle, thicker inter-ventricular septum (IVS), more PE, impaired left ventricular diastolic function, and increased systolic function. The PE could disappear in PIH and about half of other abnormalities could recover to be the level of normal pregnancy postpartum within 2 months. (ECHOCARDIOGRAPHY, Volume 23, March 2006) pregnancy-induced hypertension, cardiac morphology, echocardiography, cardiac function, postpartum

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Echocardiography of the Pericardium in Pregnancy

Cited by 8 publications

References 0 publications

Pericardial Disease in Pregnancy

Pericardial Disease in Pregnancy

Cardiac tamponade in pregnancy during the treatment of severe pre‐eclampsia: Report of a case

Echocardiographic Study of Cardiac Morphological and Functional Changes before and after Parturition in Pregnancy‐Induced Hypertension

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