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Chapter-128 Pregnancy and Pulmonary Embolism: How to Manage?

BOOK TITLE: CSI: Cardiology Update 2014

Author
1. Somasundaram M
2. Meenakshi K
ISBN
9789351526186
DOI
10.5005/jp/books/12415_129
Edition
1/e
Publishing Year
2015
Pages
5
Author Affiliations
1. Apollo Hospital, Chennai, Tamil Nadu, India, Madras Medical College and Government General Hospital, Chennai, Tamil Nadu, India, Apollo Hospitals, Chennai, Tamil Nadu, India, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Kanchipuram, Tamil Nadu, India
2. Madras Medical College, Chennai, Tamil Nadu, India, Madras medical college; Superspeciality; The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India
Chapter keywords
Pulmonary embolism, computed tomography pulmonary angiography, USFDA, heparin, prophylaxis

Abstract

Pregnancy and puerperium are associated with pulmonary embolism and is a significant cause of pregnancy-related morbidity and mortality. Clinical features of PE are not different from those in the nonpregnant state. Therefore clinical diagnosis and development of PE in pregnancy is difficult due to the same signs and symptoms. American Thoracic Society/Society of Thoracic Radiology Clinical Practice recommended some guidelines for the diagnosis, risk assessment, stratification etc., in pregnancy. Diagnosis procedures such as amniotic fluid embolus and chorion carcinoma, disseminated vascular coagulopathy are used. It is recommended that Low-risk patients should take low-dose aspirin once daily from pregnancy until delivery, because aspirin reduces the incidence of DVT and PE. For prevention of death from PE during it is necessary to adopt accurate diagnostic tests, approaches and appropriate therapy.

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