Cardiorespiratory Emergencies, Hospital General de México "Dr Eduardo Liceaga," Mexico City, Mexico; Pulmonary Circulation Clinic, Hospital General de México "Dr Eduardo Liceaga," Mexico City, Mexico; Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Neumology Service, Hospital General de México "Dr Eduardo Liceaga," Mexico City, Mexico.
Curr Probl Cardiol. 2023 Jul;48(7):101683. doi: 10.1016/j.cpcardiol.2023.101683. Epub 2023 Mar 9.
Pulmonary embolism (PE) is a potentially life-threatening condition that can occur during pregnancy and pose a significant risk to the mother and the developing fetus. It is a major contributor to pregnancy-related morbidity and mortality in any trimester. It is estimated that the incidence of PE during pregnancy is approximately 1 in 1000 pregnancies. The mortality rate for pregnant women with PE is about 3%, significantly higher than that for nonpregnant women with PE. Overall, the topic of PE and pregnancy is essential for healthcare professionals to be aware of the risks, signs, and treatment options to improve outcomes and ensure the best possible care for both the mother and the developing fetus. To prevent the fatal condition, the physician is encouraged when there is a suspicion of the pathology. This report presents an updated comprehensive review of PE during pregnancy, discussing critical aspects of the clinical and imaging diagnosis, use of heparin, thrombolysis, and prevention. We believe this article will be helpful for cardiologists, obstetricians, and other health-related professionals.
肺栓塞(PE)是一种潜在的危及生命的疾病,可在怀孕期间发生,并对母亲和发育中的胎儿构成重大风险。它是任何孕期妊娠相关发病率和死亡率的主要原因。据估计,怀孕期间 PE 的发病率约为每 1000 例妊娠 1 例。患有 PE 的孕妇的死亡率约为 3%,明显高于非妊娠妇女的死亡率。总体而言,PE 和妊娠是医疗保健专业人员必须了解的重要主题,了解风险、体征和治疗选择,以改善结果并确保为母亲和发育中的胎儿提供最佳护理。为了预防致命疾病,当怀疑存在病理学时,医生应鼓励进行诊断。本报告对怀孕期间的 PE 进行了全面的更新综述,讨论了临床和影像学诊断、肝素使用、溶栓和预防的关键方面。我们相信本文将对心脏病专家、妇产科医生和其他与健康相关的专业人员有所帮助。