AI Article Synopsis
- - Maternal cardiovascular disease is a significant cause of maternal mortality worldwide, and the rates of deaths due to these conditions have recently risen, especially among critically ill pregnant patients.
- - Managing critically ill pregnant women requires a comprehensive understanding of the unique physiological changes during pregnancy, as well as the specific disease processes that can arise or worsen during this time.
- - The text outlines the cardiorespiratory changes experienced in pregnancy, discusses possible causes of cardiorespiratory failure, and emphasizes the need for a multidisciplinary approach to ensure proper care for pregnant cardiac patients in critical settings.
Article Abstract
Maternal cardiovascular disease is a leading cause of maternal death worldwide and recently, maternal mortality has increased secondary to cardiovascular causes. Maternal admissions to critical care encompass 1%-2% of all critical care admissions, and although not common, the management of the critically ill pregnant patient is complex. Caring for the critically ill pregnant cardiac patient requires integration of pregnancy-associated physiologic changes, understanding pathophysiologic disease states unique to pregnancy, and a multidisciplinary approach to timing around delivery as well as antenatal and postpartum care. Herein we describe cardiorespiratory changes that occur during pregnancy and the differential diagnosis for cardiorespiratory failure in pregnancy. Cardiorespiratory diseases that are either associated or exacerbated by pregnancy are highlighted with emphasis on perturbations secondary to pregnancy and appropriate management strategies. Finally, we describe general management of the pregnant cardiac patient admitted to critical care.
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| http://dx.doi.org/10.1016/j.cjca.2021.08.020 | DOI Listing |
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