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- Title
Pulmonary Embolism in Pregnancy: A Review for Clinical Practitioners.
- Authors
Makowska, Agata; Treumann, Thomas; Venturini, Stefan; Christ, Michael
- Abstract
Diagnostic and therapeutic decision-making in pregnancy with suspected pulmonary embolism (PE) is challenging. European and other international professional societies have proposed various recommendations that are ambiguous, probably due to the unavailability of randomized controlled trials. In the following sections, we discuss the supporting diagnostic steps and treatments. We suggest a standardized diagnostic work-up in pregnant patients presenting with symptoms of PE to make evidence-based diagnostic and therapeutic decisions. We strongly recommend that clinical decisions on treatment in pregnant patients with intermediate- or high-risk pulmonary embolism should include a multidisciplinary team approach involving emergency physicians, pulmonologists, angiologist, cardiologists, thoracic and/or cardiovascular surgeons, radiologists, and obstetricians to choose a tailored management option including an interventional treatment. It is important to be aware of the differences among guidelines and to assess each case individually, considering the specific views of the different specialties. This review summarizes key concepts of the diagnostics and acute management of pregnant women with suspected PE that are supportive for the clinician on duty.
- Subjects
PREGNANT women; CARDIOLOGISTS; EMERGENCY physicians; PREGNANCY; PULMONARY embolism; PROFESSIONAL associations; RANDOMIZED controlled trials; PULMONOLOGISTS
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 10, p2863
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13102863