Pulmonary hypertension in pregnancy

نویسندگان

چکیده

Pulmonary hypertension is defined as an increase in mean pulmonary arterial pressure (mPAP) ≥25 mmHg at rest assessed by right heart catheterisation. pregnancy known to be associated with significantly high morbidity and mortality rate which ranges between 30% 56%. So during pregnancy, efforts made diagnose common medical ailments that can complicated hypertension. Bedside 2D Echo thoracic ultrasound are the strongly recommended these patients early prevent devastating complications. Relevant blood investigations need sent underlying etiology assess prognosis. Cardiac catheterization gold standard investigation of choice for But it 1 performed very few cardiac centres developing countries. In India diagnosis largely depends on echocardiography. It should clear women time their PAH not due maternal fetal risks. If a woman PHT become pregnant, counselling given therapeutic abortion. they willing abortion, done before 22 weeks gestation. All initiated specific therapies (prostanoids, ccbs, phosphodiesterase inhibitors) except endothelin receptor blockers teratogenic. Pregnancy difficult manage needs mutidisciplanary team. appropriate mother relatives.

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ژورنال

عنوان ژورنال: International journal of reproduction, contraception, obstetrics and gynecology

سال: 2021

ISSN: ['2320-1770', '2320-1789']

DOI: https://doi.org/10.18203/2320-1770.ijrcog20210777