Pregnancy-Related Thromboembolism-Current Challenges at the Emergency Department
Thrombotic events during pregnancy are burdened by an increased risk of morbidity and mortality, despite innovations in their diagnosis and treatment. Given their multifactorial etiology, it is important to understand all the pathophysiological mechanisms but especially to achieve correct and timely...
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Veröffentlicht in: | Journal of personalized medicine 2024-08, Vol.14 (9), p.926 |
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description | Thrombotic events during pregnancy are burdened by an increased risk of morbidity and mortality, despite innovations in their diagnosis and treatment. Given their multifactorial etiology, it is important to understand all the pathophysiological mechanisms but especially to achieve correct and timely diagnosis. Pulmonary embolism (PE) during pregnancy represents a rare event, with an incidence of 1 per 1000 pregnancies, but it is also one of the leading causes of death during pregnancy. Managing PE in the acute setting is even more challenging and complex due to the attempt to maintain a balance between hemorrhagic and thrombotic complications while ensuring an optimal outcome for both the mother and the baby. In this review, our aim is to analyze the most significant challenges of acute PE during pregnancy and identify suitable management approaches for specific situations in order to improve the prognosis of pregnant women. |
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Given their multifactorial etiology, it is important to understand all the pathophysiological mechanisms but especially to achieve correct and timely diagnosis. Pulmonary embolism (PE) during pregnancy represents a rare event, with an incidence of 1 per 1000 pregnancies, but it is also one of the leading causes of death during pregnancy. Managing PE in the acute setting is even more challenging and complex due to the attempt to maintain a balance between hemorrhagic and thrombotic complications while ensuring an optimal outcome for both the mother and the baby. In this review, our aim is to analyze the most significant challenges of acute PE during pregnancy and identify suitable management approaches for specific situations in order to improve the prognosis of pregnant women.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm14090926</identifier><identifier>PMID: 39338180</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Development and progression ; Diagnosis ; Embolism ; Emergency medical care ; Emergency service ; Fondaparinux ; Health aspects ; Hospitals ; Innovations ; Morbidity ; Mortality ; Pregnancy complications ; Pregnant women ; Pulmonary embolism ; Review ; Thromboembolism ; Veins & arteries ; Womens health</subject><ispartof>Journal of personalized medicine, 2024-08, Vol.14 (9), p.926</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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In this review, our aim is to analyze the most significant challenges of acute PE during pregnancy and identify suitable management approaches for specific situations in order to improve the prognosis of pregnant women.</description><subject>Development and progression</subject><subject>Diagnosis</subject><subject>Embolism</subject><subject>Emergency medical care</subject><subject>Emergency service</subject><subject>Fondaparinux</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Innovations</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Pregnancy complications</subject><subject>Pregnant women</subject><subject>Pulmonary embolism</subject><subject>Review</subject><subject>Thromboembolism</subject><subject>Veins & arteries</subject><subject>Womens health</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkk1r3DAQhkVpaMImp96LoZdCcSJZsi2dStgmaSGQUNKzGMtjrxd9bCU7kH9fpUnDplRCI6F53hlGGkLeM3rKuaJn251jgiqqquYNOapoW5dCVM3bvfMhOUlpS_OQdVU19B055IpzySQ9Ire3EUcP3jyUP9DCjH1xt4nBdQHzslNy5XqJEf1crDdgLfoRUwFzMW-wuHAYR8za4ivuIM4uY8fkYACb8OR5X5Gflxd362_l9c3V9_X5dWkqwUXJey4l1HUFnRrMwFkDoh8UdCCp7LMLGtNxqKjpmGG0p0PdKslpUzNl2qbnK_LlKe5u6Rz2JqeOYPUuTg7igw4w6dceP230GO41Y4Jzkc2KfHqOEMOvBdOs3ZQMWgsew5I0Z4wqRqVQGf34D7oNS_S5vj9U3fKW7VEjWNSTH0JObB6D6nPJaKOaWtBMnf6HyrNHN5ngcZjy_SvB5yeBiSGliMNLkYzqxybQe02Q6Q_77_LC_v1y_htl36uc</recordid><startdate>20240831</startdate><enddate>20240831</enddate><creator>Moroi, Ștefan-Ionuț</creator><creator>Weiss, Emma</creator><creator>Stanciu, Silviu</creator><creator>Bădilă, Elisabeta</creator><creator>Ilieșiu, Adriana Mihaela</creator><creator>Balahura, Ana-Maria</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2683-3054</orcidid></search><sort><creationdate>20240831</creationdate><title>Pregnancy-Related Thromboembolism-Current Challenges at the Emergency Department</title><author>Moroi, Ștefan-Ionuț ; 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subjects | Development and progression Diagnosis Embolism Emergency medical care Emergency service Fondaparinux Health aspects Hospitals Innovations Morbidity Mortality Pregnancy complications Pregnant women Pulmonary embolism Review Thromboembolism Veins & arteries Womens health |
title | Pregnancy-Related Thromboembolism-Current Challenges at the Emergency Department |
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