AI Article Synopsis

  • In pregnant women experiencing acute pulmonary embolism (PE) with unstable blood flow, the initial diagnostic step is a bedside echocardiogram to evaluate right ventricular (RV) function.* -
  • If RV dysfunction is detected, immediate treatment such as thrombolysis may be necessary despite its relative contraindication during pregnancy.* -
  • Collaboration with a specialized multidisciplinary team is essential to determine the most appropriate treatment methods, which may include surgical options or catheter-directed therapies.*

Article Abstract

Diagnosis of acute PE in pregnant women with haemodynamic instability is following the general integrated risk-adapted diagnostic algorithm and starts with bedside echocardiography to assess RV function. If RV dysfunction is identified, a prompt and immediate reperfusion without further imaging should be initiated. Although pregnancy is listed as a relative contraindication of systemic thrombolysis, in pregnant women with acute PE and haemodynamic instability thrombolysis must be considered. In those cases, other treatment strategies as surgical embolectomy or catheter-directed low-dose thromboylysis or percutaneous thrombectomy should be taken into consideration as well. A multidisciplinary team with experience of PE management in pregnancy should be consulted to reach consensus on the best treatment approach.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957783PMC
http://dx.doi.org/10.3389/fcvm.2022.856594DOI Listing

Publication Analysis

Top Keywords

pregnant women
8
haemodynamic instability
8
pulmonary embolism
4
embolism pregnancy-challenges
4
pregnancy-challenges diagnostic
4
diagnostic therapeutic
4
therapeutic decisions
4
decisions high-risk
4
high-risk patients
4
patients diagnosis
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!