Document Detail


Pregnancy and acute pulmonary embolism: A case report.
MedLine Citation:
PMID:  22483795     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We describe the case of a 37-year-old pregnant woman who presented at 29 weeks of gestation with syncope and shortness of breath caused by pulmonary embolism. Due to persistent hypotension thrombolytic therapy with tenecteplase was administered and the clinical and hemodynamic response was excellent, with no maternal or fetal hemorrhagic complications. The clinical presentation of pulmonary embolism is sometimes camouflaged by the physiological changes that occur in pregnancy and diagnosis is often delayed by reluctance to expose the fetus to ionizing radiation. Systemic thrombolysis is considered a high-risk treatment in pregnancy and very few women have received it. However the complication rates of thrombolytic therapy are acceptable in the light of the underlying disease.
Authors:
Luís Ferreira Dos Santos; Cláudia Andrade; Bruno Rodrigues; Davide Moreira; Anne Delgado; Pedro Manso; António Pipa; Pedro Gama; Luís Nunes; Odete Dionísio; Nuno Ribeiro; Oliveira Santos
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-5
Journal Detail:
Title:  Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology     Volume:  -     ISSN:  0870-2551     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710716     Medline TA:  Rev Port Cardiol     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.
Affiliation:
Serviço de Cardiologia, Centro Hospitalar Tondela Viseu, E.P.E., Viseu, Portugal.
Vernacular Title:
Tromboembolismo pulmonar agudo na gravidez. A propósito de um caso clínico.
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