Cardiovascular Testing and Imaging in Pregnant Women

Cardiol Clin. 2021 Feb;39(1):21-32. doi: 10.1016/j.ccl.2020.09.003.

Abstract

Cardiovascular disease is a major contributor to maternal morbidity and mortality and frequently preventable. Women with known cardiovascular disease should undergo cardiac evaluation before pregnancy. Many women with pregnancy-associated cardiac complications are not previously known to have cardiac disease. Women at high risk or who have signs or symptoms suggestive of heart failure, angina, or arrhythmias should undergo prompt evaluation. This article describes various diagnostic imaging modalities that can be used in pregnancy, including indications, strengths, and limitations.

Keywords: Cardiac catheterization; Cardiovascular imaging; Coronary angiography; ECG; Echocardiography; Ionizing radiation; MRI; Pregnancy.

Publication types

  • Review

MeSH terms

  • Cardiac Imaging Techniques / methods*
  • Female
  • Heart Diseases / diagnosis*
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnosis*
  • Risk Adjustment / methods