Pericardial disease in pregnancy

Herz
A D RistićB Maisch

Abstract

There is no evidence that pregnancy affects susceptibility to pericardial disease. However, when such a condition occurs, its proper diagnosis and management may be crucial for the outcome of the pregnancy. Hydropericardium is the most frequent form of pericardial involvement in pregnancy. It is typically a small, clinically silent pericardial effusion present in the third trimester in approximately 40% of healthy pregnant women. Small amounts of fetal pericardial fluid (< 2 mm in echocardiography, in diastole) can be detected after 20 weeks of gestation. Larger effusions should raise clinical concern for hydrops fetalis, Rh disease, hypoalbuminemia, and infectious or autoimmune disorder. Wide varieties of etiologic forms of pericardial diseases occur sporadically in pregnant women. Significant symptoms, electrocardiographic changes, or physiologic impairment warrant hospitalization. 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 ...Continue Reading

Citations

Apr 15, 2010·Journal of Cardiovascular Medicine·Massimo ImazioYehuda Adler
Jul 24, 2015·Hemodialysis International·Fatma Ulku AdamMevlut Koc
Aug 12, 2015·Nature Reviews. Cardiology·Massimo ImazioFiorenzo Gaita
Aug 15, 2006·International Journal of Cardiology·Steffen LamparterBernhard Maisch
Aug 9, 2005·Clinics in Perinatology·Jason A Pates, Diane M Twickler
Apr 29, 2010·Current Cardiology Reports·Sarah Tsiaras, Athena Poppas
Jan 26, 2016·Journal of Cardiovascular Medicine·Massimo ImazioYehuda Adler
Jun 3, 2021·Current Treatment Options in Cardiovascular Medicine·Henrietta A AfariAmy A Sarma
Jan 5, 2021·Panminerva Medica·George LazarosConstantinos Tsioufis
Mar 10, 2021·Panminerva Medica·Lisa SeratiAntonio Brucato

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