Management of reproductive health in patients with pulmonary hypertension
| Autor: | Rajat Dhungana, Rachel G. Sinkey, Hind N. Moussa, Jose A. Tallaj, Maria Patarroyo-Aponte, Navkaranbir S. Bajaj, Salpy V. Pamboukian, Samyukta Bhattarai, Andrew Lenneman, Sudeep Aryal, Deepak Acharya, Indranee Rajapreyar, Joanna M. Joly, Baha M. Sibai |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Heart Failure
Pregnancy Fetus medicine.medical_specialty Elevated pulmonary artery pressure business.industry Mortality rate medicine.medical_treatment Hypertension Pulmonary Pregnancy Complications Cardiovascular Obstetrics and Gynecology Hemodynamics General Medicine medicine.disease Pulmonary hypertension Reproductive Health medicine Extracorporeal membrane oxygenation Humans Female Intensive care medicine business Reproductive health |
| Zdroj: | American journal of obstetricsgynecology MFM. 2(2) |
| ISSN: | 2589-9333 |
| Popis: | Pulmonary hypertension is characterized by elevated pulmonary artery pressure caused by several clinical conditions that affect pulmonary vasculature. Morbidity and death in this condition are related to the development of right ventricular failure. Normal physiologic changes that occur in pregnancy to support the growing fetus can pose hemodynamic challenges to the pregnant patient with pulmonary hypertension that results in increased morbidity and mortality rates. Current guidelines recommend that patients with known pulmonary hypertension be counseled against pregnancy. This review aims to provide clinicians with guidelines for preconception counseling, medication management, and delivery planning. |
| Databáze: | OpenAIRE |
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