{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:41:12Z","timestamp":1777729272305,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T00:00:00Z","timestamp":1609804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cardiac disease remains the largest single cause of maternal death. Whilst uncommon, left ventricular failure during pregnancy and delivery can be devastating to both mother and child. Echocardiography can play a significant role in rapidly establishing a diagnosis, guiding initial therapy and then monitoring response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical vignettes<\/jats:title>\n                    <jats:p>The history, presentation and management of three cases of peri-partum left ventricular failure is examined: stress cardiomyopathy in a 34\u2009year old with twins, left ventricular dysfunction secondary to pre-eclampsia in a 22\u2009year old with a singleton pregnancy and a true peri-partum cardiomyopathy in a 42\u2009year old with IVF twins. The defining risk factors, presenting characteristics and echocardiographical findings for each pathology are highlighted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Echocardiography is playing an increasingly important role in the immediate assessment and management of left ventricular failure. This is especially true in the peri-partum woman, where establishing the correct therapy is both challenging and crucial due to the significant cardiovascular changes that occur around the time of delivery. To this end we believe that echocardiography should be rapidly available to guide the management of these patients by a multidisciplinary team made up of obstetricians, cardiologists, anaesthetists and intensive care physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1751143720978862","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T17:53:21Z","timestamp":1610560401000},"page":"210-221","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Echocardiographic assessment and critical care management of peri-partum women with unexpected left ventricular failure"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6736-2426","authenticated-orcid":false,"given":"Ben","family":"Greatorex","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Raigmore Hospital, NHS Highlands, Inverness, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Colebourn","sequence":"additional","affiliation":[{"name":"Oxford University Hospitals, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Ormerod","sequence":"additional","affiliation":[{"name":"Oxford University Hospitals, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"bibr1-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02847.x"},{"key":"bibr2-1751143720978862","volume-title":"Saving lives, improving mothers\u2019 Care \u2013 surveillance of maternal deaths in the UK 2012\u201314 and lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2009\u201314","author":"Knight M","year":"2016"},{"key":"bibr3-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3525-z"},{"key":"bibr4-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2011.06822.x"},{"key":"bibr5-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1530\/ERP-19-0050"},{"key":"bibr6-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1530\/ERP-16-0008"},{"key":"bibr7-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw128"},{"key":"bibr8-1751143720978862","first-page":"305","volume":"1","author":"Pinho CPS","year":"2014","journal-title":"J Nutr Health Sci"},{"key":"bibr9-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0000000000000138"},{"key":"bibr10-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002851"},{"key":"bibr11-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-2043-8"},{"key":"bibr12-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.031841"},{"key":"bibr13-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2009.02.010"},{"key":"bibr14-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(87)90135-9"},{"key":"bibr15-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200206000-00004"},{"key":"bibr16-1751143720978862","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.116.004888"},{"key":"bibr17-1751143720978862","unstructured":"Mathew T, Steeds RP, Jones R, Kanagala P, Lloyd G, Knight D, O'Gallagher K, Oxborough D, Rana B & Ring L. 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