| Pulmonary hypertension and pregnancy. | |
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MedLine Citation:
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PMID: 19223169 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary hypertension is defined by a mean pulmonary artery pressure of greater than 25 mmHg at rest or 30 mmHg with exercise. It can occur in association with a variety of medical conditions. The most serious elevation in pulmonary artery pressures are seen in a group of conditions that share the histological entity of plexogenic pulmonary arteriopathy. Pulmonary hypertension may be missed or diagnosed late in the course of the illness. It is associated with a poor prognosis. Pulmonary hypertension carries a significant risk to mother and child during pregnancy and pregnant women with pulmonary hypertension require careful monitoring within the framework of a multidisciplinary team. Specific targeted therapy for pulmonary hypertension may be required during pregnancy. Many agents are contraindicated because of risks of teratogenicity or secretion into breast milk. The optimum mode of delivery is not clear but early input from the high-risk obstetric anaesthesia team is essential. |
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Authors:
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B P Madden |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-02-14 |
Journal Detail:
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Title: International journal of obstetric anesthesia Volume: 18 ISSN: 1532-3374 ISO Abbreviation: Int J Obstet Anesth Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-23 Completed Date: 2009-06-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200430 Medline TA: Int J Obstet Anesth Country: Netherlands |
Other Details:
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Languages: eng Pagination: 156-64 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Medicine, St George's Hospital, London, UK. brendan.madden@stgeorges.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Obstetrical Antihypertensive Agents / adverse effects, pharmacokinetics, therapeutic use Delivery, Obstetric Disease Progression Female Humans Hypertension, Pulmonary / diagnosis, drug therapy, physiopathology, therapy* Infant, Newborn Pregnancy Pregnancy Complications, Cardiovascular / diagnosis, drug therapy, physiopathology, therapy* Pregnancy Outcome Prognosis Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Antihypertensive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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