Clinical Considerations on Anticoagulation Management in Cardiovascular Diseases During Pregnancy

被引:1
作者
Goland, Sorel [1 ]
Zilberman, Liaz [1 ]
Elkayam, Uri [2 ]
机构
[1] Kaplan Med Ctr, Dept Cardiol, IL-76100 Rehovot, Israel
[2] Univ So Calif, Dept Med, Div Cardiovasc Dis, Los Angeles, CA USA
关键词
anticoagulation; pregnancy; cardiovascular diseases; MOLECULAR-WEIGHT HEPARIN; MECHANICAL HEART-VALVES; MASSIVE PULMONARY-EMBOLISM; TISSUE-PLASMINOGEN ACTIVATOR; VENOUS THROMBOEMBOLISM; PERIPARTUM CARDIOMYOPATHY; HEMOSTATIC CHANGES; RISK-FACTORS; WOMEN; WARFARIN;
D O I
10.1002/ddr.21113
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Pregnancy-associated thrombosis is an important cause of morbidity and mortality during pregnancy. All anticoagulation options are associated with risks and benefits. Thus, although anticoagulation therapy is an important component of the management of thrombotic complications in pregnancy, it is associated with fetal and maternal complications. Therefore, pregnancy poses a serious therapeutic dilemma for both physicians and their patients. This review summarizes the available data on anticoagulation therapy for thromboembolic prophylaxis in pregnant women focusing on cardiovascular disorders, especially on treatment strategy in pregnant women with mechanical heart valves. (C) 2013 Wiley Periodicals, Inc.
引用
收藏
页码:541 / 552
页数:12
相关论文
共 121 条
[1]   Management of pregnant women with mechanical heart valve prosthesis: Thromboprophylaxis with Low molecular weight heparin [J].
Abildgaard, Ulrich ;
Sandset, Per Morten ;
Hammerstrom, Jens ;
Gjestvang, Finn Tore ;
Tveit, Arnljot .
THROMBOSIS RESEARCH, 2009, 124 (03) :262-267
[2]  
AcGehee W., 1998, CARDIAC PROBLEMS PRE, P407
[3]   Peripartum cardiomyopathy presenting with pulmonary embolism: An unusual case [J].
Agunanne, Enoch .
SOUTHERN MEDICAL JOURNAL, 2008, 101 (06) :646-647
[4]   Massive pulmonary embolism during pregnancy successfully treated with recombinant tissue plasminogen activator - A case report and review of treatment options [J].
Ahearn, GS ;
Hadjiliadis, D ;
Govert, JA ;
Tapson, VF .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (11) :1221-1227
[5]   Pregnancy and mechanical heart valves replacement; dilemma of anticoagulation [J].
Al-Lawati, AAM ;
Venkitraman, M ;
Al-Delaime, T ;
Valliathu, J .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 22 (02) :223-227
[6]   Improved outcomes in peripartum cardiomyopathy with contemporary [J].
Amos, Ankie M. ;
Jaber, Wissam. A. ;
Russell, Stuart D. .
AMERICAN HEART JOURNAL, 2006, 152 (03) :509-513
[7]  
[Anonymous], 2002, CLIN CARD CONS REP, V3, P1
[8]  
[Anonymous], 2004, LOV INJ PACK INS
[9]  
Arnaout M. Samir, 1998, Clinical and Experimental Obstetrics and Gynecology, V25, P101
[10]   CONTROVERSIES IN THROMBOEMBOLIC DISEASE DURING PREGNANCY - A CRITICAL-REVIEW [J].
BARBOUR, LA ;
PICKARD, J .
OBSTETRICS AND GYNECOLOGY, 1995, 86 (04) :621-633