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Navigate the complex hemodynamics of pregnancy in patients with underlying systemic diseases. This essential session from Mayo Clinic ECHO 2025 focuses on the critical application of echocardiography for risk stratification, monitoring, and guiding the management of pregnant patients with pre-existing cardiac conditions like hypertension, diabetes, autoimmune disorders, and congenital heart disease. In This Session You Will Learn: Cardiac Adaptations in Pregnancy: Understand the normative hemodynamic and structural changes to accurately interpret echocardiograms, distinguishing physiology from pathology. Key changes include a 30-50% increase in cardiac output and a 40% expansion in plasma volume. Risk Assessment & Guidelines: Apply validated risk scores (CARPREG II, modified WHO) and current ACC/AHA/ESC guidelines for pre-conception counseling and antenatal care. Echo for Specific Conditions: Utilize echocardiography to monitor and manage the cardiovascular impact of systemic diseases (e.g., hypertensive disorders, connective tissue diseases like Marfan syndrome) and pre-existing heart conditions (valvular disease, congenital heart defects) throughout pregnancy. Detection of Pregnancy-Specific Disease: Recognize the echocardiographic features of peripartum cardiomyopathy and the exacerbated effects of conditions like preeclampsia. Practical Imaging Protocols: Implement safe and effective imaging techniques, including preferred patient positioning and considerations for the use of contrast and stress testing during pregnancy. Who Should Watch: Cardiologists, echocardiographers, and sonographers Maternal-fetal medicine specialists and obstetricians Rheumatologists and internists managing systemic diseases Cardiology and obstetric fellows 🔔 Subscribe to YouTube channel for more expert-led education 📌 Tags: #CardioObstetrics #Echocardiography #Pregnancy #SystemicDisease #MaternalHealth #MayoClinic #Cardiology #MedicalEducation #CME #HeartDisease