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Number of results
2013 | 67 | 3 | 194–200

Article title

Diagnostyka i leczenie zatorowości płucnej w okresie ciąży w aspekcie żylnej choroby zakrzepowo-zatorowej

Content

Title variants

EN
Diagnosis and treatment of pulmonary embolism in pregnancy, as a part of venous thromboembolism

Languages of publication

PL

Abstracts

PL
Zatorowość płucna (ZP) jest częstą przyczyna zgonów kobiet w okresie ciąży i połogu. W związku z fizjologicznymi zmianami u kobiet ciężarnych wzrasta ryzyko powikłań zakrzepowo-zatorowych. Diagnostyka ZP w tym okresie jest trudna ze względu na niespecyficzne objawy i fizjologiczny wzrost stężenia D-dimerów. W diagnostyce stosuje się badanie ultrasonograficzne układu żylnego oraz badania wykorzystujące promieniowanie jonizujące, jak tomografia komputerowa i scyntygrafia. Obrazowanie jest bezpieczne dla płodu i powinno być stosowane u pacjentek z niespecyficznymi objawami, mogącymi sugerować ZP. Podstawowe miejsce w leczeniu ZP mają heparyny drobnocząsteczkowe (low molecular weight heparins – LMWH).
EN
Pulmonary embolism is a common cause of death among pregnant woman. Physiological changes during pregnancy lead to a higher risk of thromboembolism development. Pulmonary embolism diagnostics is difficult because of its non-specific symptoms and physiological elevated D-dimers concentration. In most cases, venous ultrasonography and examinations with the use of ionized radiation – computer tomography or scintigraphy are usually applied. Imaging is safe and should be performed on all women presenting non-specific chest symptoms during pregnancy. In the treatment of pulmonary embolism, low molecular weight heparins (LMWH) are used.

Discipline

Year

Volume

67

Issue

3

Pages

194–200

Physical description

Contributors

  • Studium Doktoranckie Wydziału Lekarskiego w Katowicach Śląskiego Uniwersytetu Medycznego w Katowicach ul. Medyków 12 40-752 Katowice tel. 888 825 344
author
  • Zakład Profilaktyki Chorób Kobiecych i Seksuologii Katedry Zdrowia Kobiety Wydziału Nauk o Zdrowiu Śląskiego Uniwersytetu Medycznego w Katowicach Oddział Chorób Wewnętrznych z Pododdziałem Diagnostyki Kardiologicznej Szpitala Zakonu Bonifratrów w Katowicach
  • Studium Doktoranckie Wydziału Lekarskiego w Katowicach
  • Studium Doktoranckie Wydziału Lekarskiego w Katowicach

References

  • 1. Heit J., Kobbervig C., James A. i wsp. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann. Intern. Med. 2005; 143: 697–706.
  • 2. James A.H., Jamison M.G., Brancazio L.R., Myers E.R. Venous throm-boembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality. Am. J. Obstet. Gynecol. 2006; 194: 1311–1315.
  • 3. Simpson E.L., Lawrenson R.A., Nightingale A.L., Farmer R.D. Venous thromboembolism in pregnancy and the puerperium: incidence and additional risk factors from a London perinatal database. BJOG 2001; 108: 56–60.
  • 4. Blanco-Molina A., Rota L.L., Di Micco P. i wsp. Venous thromboembo-lism during pregnancy, postpartum or duringcontraceptive use. RIETE Investigators. Thromb. Haemost. 2010; 103: 306–311.
  • 5. James A., Jamison M., Brancazio L. i wsp. Venous thromboembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality. Am. J. Obstet. Gynecol. 2006; 194: 1311–1315.
  • 6. Marik P., Plante L. Venous thromboembolic disease and pregnancy. N. Engl. J. Med. 2008; 359: 2025–2033.
  • 7. Duhl A.J., Paidas M.J., Ural S.H. i wsp. Antithrombotic therapy and pregnancy: Consensus report and recommendations for prevention and treatment of venous thromboembolism and adverse pregnancy outcomes. Am. J. Obstet. Gynecol. 2007; 197: 457.e1-457.e21.
  • 8. Kobayashi T., Nakabayashi M., Ishikawa M. i wsp. Pulmonary thrombo-embolism in obstetrics and gynecology increased by 6.5-fold over the past decade in Japan. Circ. J. 2008; 72: 753–756.
  • 9. Kjellberg U., Andersson N.E., Rosen S. i wsp. APC resistance and other haemostatic variables during pregnancy and puerperium. Thromb. Haemost. 1999; 81: 527–531.
  • 10. Pomp E.R., Lenselink A.M., Rosendaal F.R. i wsp. Pregnancy, the postpartum period and prothrombotic defects: risk of venous thrombosis in the MEGA study. J. Thromb. Haemost. 2008; 6: 632–637.
  • 11. Eichinger S., Weltermann A., Philipp K. i wsp. Prospective evaluation of hemostatic system activation and thrombin potential in healthy pregnant women with and without factor V Leiden. Thromb Haemost. 1999; 82: 1232–1236.
  • 12. Nelson-Piercy C. Thromboembolic disease in pregnancy. Handbook of obstetric medicine. 4th ed. New York: Informa Healthcare 2010: 90–92
  • 13. Macklon N.S., Greer I.A. & Bowman A.W. An ultrasound study of gestational and postural changes in the deep venous system of the leg in pregnancy. BJOG 1997; 104: 191–197.
  • 14. Macklon N., Greer I. The deep venous system in the puerperium: an ultrasound study. Br. J. Obstet. Gynaecol. 1997; 104: 198–200.
  • 15. Royal College of Obstetricians and Gynaecologists. Thromboprophylaxis during pregnancy, labour and after vaginal delivery. Guideline 2004; no. 37: 1–2
  • 16. British Thoracic Society guidelines for the management of suspected acute pulmonary embolism. Thorax 2003; 58: 470–483
  • 17. Torbicki A., Perrier A., Konstantinides S. i wsp. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the Euro-pean Society of Cardiology (ESC). Eur. Heart J. 2008; 29: 2276–2315.
  • 18. Turkstra F., Kuijer P.M., van Beek E.J. i wsp. Diagnostic utility of ultrasonography of leg veins in patients suspected of having pulmonary embolism. Ann. Intern. Med. 1997; 126: 775–781.
  • 19. Jardin F., Dubourg O., Bourdarias J.P. Echocardiographic pattern of acute cor pulmonale. Chest 1997; 111: 209–217
  • 20. Davies H.E., Wathen C.G. & Gleeson F.V. The risks of radiation exposure related to diagnostic imaging and how to minimize them. BMJ 2011; 342: d947.
  • 21. Winer-Muram H.T., Boone J.M., Brown H.L. i wsp. Pulmonary embo-lism in pregnant patients: fetal radiation dose with helical CT. Radiology 2002; 224: 487–492.
  • 22. Einstein A.J., Henzlova M.J., Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007; 298: 317–323.
  • 23. Parker M.S., Hui F.K., Camacho M.A. i wsp. Female breast radiation exposure during CT pulmonary angiography. Am. J. Roentgenol. 2005; 185: 1228–1233.
  • 24. Anderson D.R., Kahn S.R., Rodger M.A. i wsp. Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism: a randomized controlled trial. JAMA 2007; 298: 2743–2753
  • 25. Hurwitz L.M., Yoshizumi T.T., Reiman R.E. i wsp. Radiation dose to the female breast from 16-MDCT body protocols. Am. J. Roentgenol. 2006; 186: 1718–1722.
  • 26. Marik P., Plante L. Venous thromboembolic disease and pregnancy. N. Engl. J. Med. 2008; 359: 2025–2033
  • 27. Vahanian A., Baumgartner H., Bax J. i wsp. Guidelines on the manage-ment of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur. Heart J. 2007; 28: 230–268.
  • 28. Bates S., Greer I, Pabinger I. i wsp. Venous thromboembolism, throm-bophilia, antithrombotic therapy, and pregnancy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: 844S–886S.
  • 29. Casele H., Laifer S., Woelkers D. i wsp. Changes in the pharmacokinetics of the low-molecular weight heparin enoxaparin sodium during pregnancy. Am. J. Obstet. Gynecol. 1999; 181: 1113–1117.
  • 30. Baglin T., Brush J., Streiff M. Guidelines on use of vena cava filters. Br. J. Haematol. 2006; 134: 590–595.
  • 31. Royal College of Obstetrics and Gynecology. Reducing the risk of thrombosis and embolism during pregnancy and puerperium. Green-top Guideline 2009; 37: 20–21.
  • 32. Leonhardt G., Gaul C., Nietsch H. i wsp. Thrombolytic therapy in pregnancy. J. Thromb. Throm. 2006; 21: 271–276.
  • 33. Ahearn G.S., Hadjiliadis D., Govert J.A. i wsp. Massive pulmonary embolism during pregnancy successfully treated with recombinant tissue plasminogen activator: acase report and review of treatment options. Arch. Intern. Med. 2002; 162:1221–1227.
  • 34. Leonhardt G., Gaul C., Nietsch H.H. i wsp. Thrombolytic therapy in pregnancy. J. Thromb. Thromb. 2006; 21: 271–276.
  • 35. Hurwitz L.M., Yoshizumi T., Reiman R.E. i wsp. Radiation dose to the fetus from body MDCT during early gestation. Am. J. Roentgenol. 2006; 186: 871–876.
  • 36. Winer-Muram H.T., Boone J.M., Brown H.L., Jennings S.G., Mabie W.C., Lombardo G.T. Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT. Radiology 2002; 224: 487–492.
  • 37. Hurvitz L.M., Yoshizumi T.T., Reiman R.E. i wsp. Radiation dose to the female bret from 16-MDCT body protocols. Am. J. Roentgenol. 2006; 186: 1718–1722.

Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-c4c78dd7-39ce-4274-b185-cfb407aabb1e
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