Pulmonary embolism during pregnancy: Difficulties in diagnosis and management
Abstract. Venous thromboembolic complications (VTEC) are the most common cause of direct maternal mortality during pregnancy and in the early postpartum period. Article presents a clinical observation of pulmonary embolism (PE) in female patient with pregnancy at 32 weeks, who had two risk factors for this disease – age > 35 years and the 5th number of pregnancy. PE was confirmed by echocardiography, visualized by computer tomography with contrast. The source of PE was not identified, the observed woman needed an in-depth study of hemostasis and dynamic observation in postpartum period. She was transferred to the perinatal center for delivery, in postpartum period she continued anticoagulant therapy. Thus, PE during pregnancy remains to be a rare and complex clinical situation, requires a personalized approach to the prognosis, diagnosis and treatment of VTEC in pregnants with multidisciplinary approach and continuity to achieve a favorable outcome.Uryasyev O.M., Solovieva A.V., Aksentyev S.B., Sidorova V.P., Miloserdov G.I., Nikiforova E.A., Cheskidov A.V.
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References
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About the Authors
Oleg M. Uryasyev, MD, Dr. Sci. (Medicine), professor, head of the Department of faculty therapy named after professor V.Ya. Garmash, Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya St.E-mail: uvryasev08@yandex.ru
ORCID: https://orcid.org/0000-0001-8693-4696
Alexandra V. Solovieva, MD, Dr. Sci. (Medicine), associate professor, professor of the Department of faculty therapy named after professor V.Ya. Garmash, Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya St.
E-mail: savva2005@bk.ru
ORCID: https://orcid.org/0000-0001-7896-6356
Sergey B. Aksentyev, MD, PhD (Medicine), associate professor of the Department of faculty therapy named after professor V.Ya. Garmash, Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya St.
E-mail: aksentievs@mail.ru
ORCID: https://orcid.org/0000-0002-0507-520X
Victoria P. Sidorova, MD, physician, cardiologist at “Network of Family Medical Centers Region No. 2” LTD. Address: 390013, Ryazan, 1 Zavodskoy Drive.
E-mail: vp.sidorova@mail.ru
ORCID: https://orcid.org/0000-0003-0592-9428
Gennady I. Miloserdov, MD, head of the line “Therapy” of “Network of family medical centers Region No. 2” LTD. Address: 390013, Ryazan, 1 Zavodskoy Drive.
E-mail: gekkos@mail.ru
ORCID: https://orcid.org/0009-0009-7402-1959
Ekaterina A. Nikiforova, 1st year resident in the specialty “General medical practice” of the Department of outpatient therapy, preventive medicine and general medical practice of Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya St.
E-mail: ekaterina250499@gmail.com
ORCID: https://orcid.org/0000-0003-1133-9176
Alexey V. Cheskidov, MD, PhD (Medicine), associate professor of the Department of nursing, Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya St.
E-mail: a.v.cheskidov@yandex.ru
ORCID: https://orcid.org/0000-0001-9468-0438