Cardiovascular Emergencies in Pregnancy

被引：8

作者：

Borhart, Joelle ^{[1
,2
]}

Palmer, Jessica ^{[3
]}

机构：

[1] MedStar Georgetown Univ Hosp, Dept Emergency Med, 3800 Reservoir Rd, Washington, DC 20007 USA

[2] Washington Hosp Ctr, 3800 Reservoir Rd, Washington, DC 20007 USA

[3] MedStar Southern Maryland Hosp Ctr, Dept Emergency Med, 7503 Surratts Rd, Clinton, MD 20735 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2019年 / 37卷 / 02期

关键词：

Pregnancy; Deep vein thrombosis; Pulmonary embolism; D-dimer; Aortic dissection; Myocardial infarction; Perlpartum cardiomyopathy; DIAGNOSING PULMONARY-EMBOLISM; ACUTE MYOCARDIAL-INFARCTION; A AORTIC DISSECTION; D-DIMER; VENOUS THROMBOEMBOLISM; REFERENCE INTERVALS; ANGIOGRAPHY; RISK; MANAGEMENT; OUTCOMES;

D O I：

10.1016/j.emc.2019.01.010

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiovascular disease has overtaken all other causes of maternal death in the United States. The physiologic changes of pregnancy place a significant amount of stress on the cardiovascular system and put pregnant women at risk for potentially catastrophic complications, such as pulmonary embolism, aortic or coronary artery dissection, myocardial infarction, and peripartum cardiomyopathy. The diagnosis of these conditions is challenging because the symptoms can mimic those experienced in normal pregnancies. There are subtle differences in the diagnosis and treatment of cardiovascular emergencies in pregnant patients that clinicians must be aware of; however, the overall management goals are similar.

引用

页码：339 / +

页数：13

共 56 条

[1] Peripartum Cardiomyopathy [J].

Arany, Zolt ;

Elkayam, Uri .

CIRCULATION, 2016, 133 (14) :1397-1409

[2] Guidance for the treatment and prevention of obstetric-associated venous thromboembolism [J].

Bates, Shannon M. ;

Middeldorp, Saskia ;

Rodger, Marc ;

James, Andra H. ;

Greer, Ian .

JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2016, 41 (01) :92-128

[3] Pregnancy-associated myocardial infarction Case report and review of the literature [J].

Bezgin, T. ;

Gecmen, C. ;

Erden, I. ;

Esen, A. M. .

HERZ, 2014, 39 (04) :530-533

[4]

Bhattacharyya A, 2012, TEX HEART I J, V39, P8

[5] Pulmonary embolism in pregnancy [J].

Bourjeily, Ghada ;

Paidas, Michael ;

Khalil, Hanan ;

Rosene-Montella, Karen ;

Rodger, Marc .

LANCET, 2010, 375 (9713) :500-512

[6] Pulmonary Embolism and Amniotic Fluid Embolism in Pregnancy [J].

Brennan, Matthew C. ;

Moore, Lisa E. .

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 2013, 40 (01) :27-+

[7]

Cahill AG, 2009, OBSTET GYNECOL, V114, P124, DOI [10.1097/AOG.0b013e3181a99def, 10.1097/AOG.0b013e3181aef106]

[8] Stanford Type A Aortic Dissection in Pregnancy: A Diagnostic and Management Challenge [J].

Ch'ng, Stephanie L. ;

Cochrane, Andrew D. ;

Goldstein, Jacob ;

Smith, Julian A. .

HEART LUNG AND CIRCULATION, 2013, 22 (01) :12-18

[9] A red blood cell agglutination D-Dimer test to exclude deep venous thrombosis in pregnancy [J].

Chan, Wee-Shian ;

Chunilal, Sanjeev ;

Lee, Agnes ;

Crowther, Mark ;

Rodger, Marc ;

Ginsberg, Jeffrey S. .

ANNALS OF INTERNAL MEDICINE, 2007, 147 (03) :165-170

[10] Venous Thromboembolism and Antithrombotic Therapy in Pregnancy [J].

Chan, Wee-Shian ;

Rey, Evelyne ;

Kent, Nancy E. ;

Chan, Wee-Shian ;

Kent, Nancy E. ;

Rey, Evelyne ;

Corbett, Thomas ;

David, Michele ;

Douglas, M. Joanne ;

Gibson, Paul S. ;

Magee, Laura ;

Rodger, Marc ;

Smith, Reginald E. .

JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA, 2014, 36 (06) :527-553

← 1 2 3 4 5 6 →