Letter to the Editor
Turner syndrome and pregnancy: A multidisciplinary approach
Síndrome de Turner e gravidez: uma abordagem multidisciplinar
Ruth Alvarez, María Luisa Rodríguez, María Martín
Autor para correspondência
Cardiology Department, Hospital Universitario Central de Asturia, Oviedo, Asturias, Spain
Lido
3275
Vezesque se leu este artigo
1505
Total PDF
1770
Total HTML
Compartilhar estatísticas
array:25 [ "pii" => "S0870255118306218" "issn" => "08702551" "doi" => "10.1016/j.repc.2018.09.007" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1311" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2018;37:951" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 643 "formatos" => array:3 [ "EPUB" => 79 "HTML" => 319 "PDF" => 245 ] ] "itemSiguiente" => array:19 [ "pii" => "S0870255118304955" "issn" => "08702551" "doi" => "10.1016/j.repc.2018.08.005" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1312" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Cardiol. 2018;37:953-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 713 "formatos" => array:3 [ "EPUB" => 90 "HTML" => 447 "PDF" => 176 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Focus on spontaneous coronary artery dissection: Where are we now?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "953" "paginaFinal" => "955" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Foco na disseção espontânea da artéria coronária: Onde estamos agora?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2589 "Ancho" => 3000 "Tamanyo" => 604470 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Flowchart for the diagnosis and management of spontaneous coronary artery dissection.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">7</span></a></p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Dario Buccheri" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Dario" "apellidos" => "Buccheri" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118304955?idApp=UINPBA00004E" "url" => "/08702551/0000003700000011/v4_201911280953/S0870255118304955/v4_201911280953/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S0870255118300039" "issn" => "08702551" "doi" => "10.1016/j.repc.2018.03.012" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1261" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2018;37:949-50" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1675 "formatos" => array:3 [ "EPUB" => 83 "HTML" => 1269 "PDF" => 323 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagem em Cardiologia</span>" "titulo" => "Cardiopatia congénita complexa com ausência de artérias pulmonares" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "949" "paginaFinal" => "950" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complex congenital heart disease with absent pulmonary arteries" ] ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figura 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1990 "Ancho" => 1583 "Tamanyo" => 233280 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Angiotomografia cardíaca que evidencia MAPCA de maior calibre com estenose na sua porção proximal.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jorge Abreu Ferreira, Sandra Pereira, João Sarmento, Sofia Granja, António J. Madureira, Maria João Baptista" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Jorge Abreu" "apellidos" => "Ferreira" ] 1 => array:2 [ "nombre" => "Sandra" "apellidos" => "Pereira" ] 2 => array:2 [ "nombre" => "João" "apellidos" => "Sarmento" ] 3 => array:2 [ "nombre" => "Sofia" "apellidos" => "Granja" ] 4 => array:2 [ "nombre" => "António J." "apellidos" => "Madureira" ] 5 => array:2 [ "nombre" => "Maria João" "apellidos" => "Baptista" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204918303842" "doi" => "10.1016/j.repce.2018.03.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918303842?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118300039?idApp=UINPBA00004E" "url" => "/08702551/0000003700000011/v4_201911280953/S0870255118300039/v4_201911280953/pt/main.assets" ] "asociados" => array:1 [ 0 => array:20 [ "pii" => "S0870255117301142" "issn" => "08702551" "doi" => "10.1016/j.repc.2017.08.008" "estado" => "S300" "fechaPublicacion" => "2018-07-01" "aid" => "1230" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "rev" "cita" => "Rev Port Cardiol. 2018;37:607-21" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1949 "formatos" => array:3 [ "EPUB" => 146 "HTML" => 1366 "PDF" => 437 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>" "titulo" => "Cardiovascular risk in Turner syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "607" "paginaFinal" => "621" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Risco cardiovascular na síndrome de Turner" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 757 "Ancho" => 800 "Tamanyo" => 25441 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Long-axis three-chamber-view CMR of a 24-year-old patient with TS, showing dilatation of the ascending aorta, with ASI >2.5 cm/m<span class="elsevierStyleSup">2</span> indicating a high risk of dissection.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Beatriz Donato, Maria João Ferreira" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Donato" ] 1 => array:2 [ "nombre" => "Maria João" "apellidos" => "Ferreira" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204918302502" "doi" => "10.1016/j.repce.2017.08.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204918302502?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255117301142?idApp=UINPBA00004E" "url" => "/08702551/0000003700000007/v3_201808080407/S0870255117301142/v3_201808080407/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Turner syndrome and pregnancy: A multidisciplinary approach" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "951" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ruth Alvarez, María Luisa Rodríguez, María Martín" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ruth" "apellidos" => "Alvarez" ] 1 => array:2 [ "nombre" => "María Luisa" "apellidos" => "Rodríguez" ] 2 => array:4 [ "nombre" => "María" "apellidos" => "Martín" "email" => array:1 [ 0 => "mmartinf7@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Hospital Universitario Central de Asturia, Oviedo, Asturias, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Síndrome de Turner e gravidez: uma abordagem multidisciplinar" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the review article recently published in your journal by Donato and Ferreira concerning cardiovascular disease and Turner syndrome.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> It is a very welcome article, as Turner syndrome, although an infrequent condition, is important from a cardiological point of view. The work reminds us of the need for cardiological screening in these patients as well as the follow-up that should be performed. On the other hand, pregnancy is now possible thanks to oocyte donation, but this requires pre-pregnancy counseling that must be taken into account. The most recent ESC guidelines (2018) on cardiovascular diseases during pregnancy<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> specifically state that Turner syndrome is a contraindication for pregnancy (modified World Health Organization level IV) with an aortic diameter greater than 25 mm/m<span class="elsevierStyleSup">2</span>. Moreover, the possibility of both type A and type B dissection is present, and therefore careful and periodic aortic assessment should be performed, especially during pregnancy. The guidelines recommend the creation of pregnancy heart teams in order to assess risk prior to and during pregnancy and also to decide the time and mode of delivery. The review by Donato and Ferreira helps increase knowledge and awareness of this condition and compels us to consider the creation of multidisciplinary work teams for both diagnosis and follow-up. We thank the authors.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiovascular risk in Turner syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Donato" 1 => "M.J. Ferreira" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2017.08.008" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2018" "volumen" => "37" "paginaInicial" => "607" "paginaFinal" => "621" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29866389" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "ESC Scientific Document Group" "etal" => true "autores" => array:3 [ 0 => "V. Regitz-Zagrosek" 1 => "J.W. Roos-Hesselink" 2 => "J. Bauersachs" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/eurheartj/ehy340" "Revista" => array:6 [ "tituloSerie" => "Eur Heart J" "fecha" => "2018" "volumen" => "39" "paginaInicial" => "3165" "paginaFinal" => "3241" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30165544" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003700000011/v4_201911280953/S0870255118306218/v4_201911280953/en/main.assets" "Apartado" => array:4 [ "identificador" => "29267" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas ao Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003700000011/v4_201911280953/S0870255118306218/v4_201911280953/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118306218?idApp=UINPBA00004E" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 6 | 3 | 9 |
| 2024 Outubro | 51 | 23 | 74 |
| 2024 Setembro | 50 | 25 | 75 |
| 2024 Agosto | 45 | 25 | 70 |
| 2024 Julho | 44 | 26 | 70 |
| 2024 Junho | 36 | 21 | 57 |
| 2024 Maio | 33 | 27 | 60 |
| 2024 Abril | 35 | 24 | 59 |
| 2024 Maro | 32 | 26 | 58 |
| 2024 Fevereiro | 33 | 18 | 51 |
| 2024 Janeiro | 26 | 24 | 50 |
| 2023 Dezembro | 19 | 17 | 36 |
| 2023 Novembro | 25 | 30 | 55 |
| 2023 Outubro | 22 | 18 | 40 |
| 2023 Setembro | 33 | 15 | 48 |
| 2023 Agosto | 32 | 22 | 54 |
| 2023 Julho | 15 | 11 | 26 |
| 2023 Junho | 27 | 16 | 43 |
| 2023 Maio | 34 | 28 | 62 |
| 2023 Abril | 25 | 5 | 30 |
| 2023 Maro | 27 | 25 | 52 |
| 2023 Fevereiro | 17 | 27 | 44 |
| 2023 Janeiro | 17 | 16 | 33 |
| 2022 Dezembro | 27 | 28 | 55 |
| 2022 Novembro | 23 | 25 | 48 |
| 2022 Outubro | 30 | 21 | 51 |
| 2022 Setembro | 21 | 32 | 53 |
| 2022 Agosto | 26 | 32 | 58 |
| 2022 Julho | 21 | 37 | 58 |
| 2022 Junho | 19 | 32 | 51 |
| 2022 Maio | 18 | 31 | 49 |
| 2022 Abril | 20 | 30 | 50 |
| 2022 Maro | 32 | 44 | 76 |
| 2022 Fevereiro | 16 | 27 | 43 |
| 2022 Janeiro | 19 | 24 | 43 |
| 2021 Dezembro | 19 | 27 | 46 |
| 2021 Novembro | 21 | 38 | 59 |
| 2021 Outubro | 27 | 35 | 62 |
| 2021 Setembro | 21 | 30 | 51 |
| 2021 Agosto | 20 | 32 | 52 |
| 2021 Julho | 13 | 21 | 34 |
| 2021 Junho | 17 | 19 | 36 |
| 2021 Maio | 27 | 36 | 63 |
| 2021 Abril | 24 | 15 | 39 |
| 2021 Maro | 46 | 15 | 61 |
| 2021 Fevereiro | 31 | 10 | 41 |
| 2021 Janeiro | 28 | 20 | 48 |
| 2020 Dezembro | 31 | 6 | 37 |
| 2020 Novembro | 27 | 23 | 50 |
| 2020 Outubro | 18 | 16 | 34 |
| 2020 Setembro | 21 | 12 | 33 |
| 2020 Agosto | 16 | 6 | 22 |
| 2020 Julho | 13 | 13 | 26 |
| 2020 Junho | 15 | 11 | 26 |
| 2020 Maio | 18 | 6 | 24 |
| 2020 Abril | 15 | 19 | 34 |
| 2020 Maro | 16 | 8 | 24 |
| 2020 Fevereiro | 43 | 58 | 101 |
| 2020 Janeiro | 42 | 6 | 48 |
| 2019 Dezembro | 23 | 8 | 31 |
| 2019 Novembro | 9 | 8 | 17 |
| 2019 Outubro | 17 | 7 | 24 |
| 2019 Setembro | 12 | 10 | 22 |
| 2019 Agosto | 15 | 7 | 22 |
| 2019 Julho | 16 | 10 | 26 |
| 2019 Junho | 21 | 15 | 36 |
| 2019 Maio | 17 | 12 | 29 |
| 2019 Abril | 14 | 19 | 33 |
| 2019 Maro | 10 | 8 | 18 |
| 2019 Fevereiro | 15 | 16 | 31 |
| 2019 Janeiro | 24 | 13 | 37 |
| 2018 Dezembro | 38 | 31 | 69 |
| 2018 Novembro | 14 | 24 | 38 |
Mostrar tudo
