Neglected Pulmonary Arterial Hypertension in Sickle Cell Anaemia during Prenatal Care

Bavarsad Karimi, Minoodokht (2020) Neglected Pulmonary Arterial Hypertension in Sickle Cell Anaemia during Prenatal Care. European Journal of Case Reports in Internal Medicine, 7 (6). pp. 1-3. ISSN ISSN: 2284-2594

[img]
Preview
Text
1532-Article Text-12584-1-10-20200406.pdf - Published Version

Download (180kB) | Preview
Official URL: https://www.ejcrim.com/index.php/EJCRIM/issue/view...

Abstract

Pulmonary arterial hypertension (PAH) is one of the main complications of sickle cell disease (SCD) and imparts significant risk during pregnancy. Here, we report the outcome of undetected PAH in a pregnant woman with SCD. The patient presented with severe progressive dyspnoea with echocardiographic findings of high pressure in the pulmonary artery in the 37th week of pregnancy. Despite an emergency caesarean section, both mother and neonate died. Regular cardiovascular check-up is essential for SCD patients and careful prenatal care should include cardiovascular evaluation. PAH during pregnancy is associated with high mortality and morbidity. As there is no proof that new advanced therapies decrease the risks, early diagnosis in pregnant patients with underlying disease, like sickle cell anaemia, is essential and termination of pregnancy should be considered.

Item Type: Article
Uncontrolled Keywords: Pregnancy, pulmonary hypertension, sickle cell anaemia, prenatal care
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 14 Dec 2021 14:17
Last Modified: 14 Dec 2021 14:17
URI: http://eprints.bice.rm.cnr.it/id/eprint/20907

Actions (login required)

View Item View Item