title: [Diagnosis and treatment of pulmonary embolism in pregnancy].
abstract: Pregnancy and puerperium increase the risk of venous thromboembolic disease. As it is potentially life-threatening, all patients with the suspicion of pulmonary embolism require proper diagnosis and, possibly treatment. Venous ultrasonography is usually applied. However; in most cases the examinations with the use of ionized radiation--computer tomography or scintigraphy--are indispensable. In treatment of pulmonary embolism, low molecular weight heparins play the key role. However; in case of dramatic pulmonary embolism with shock and hypotension, thrombolytic therapy may be necessary. Low molecular weight heparins as well as oral anticoagulants can be used after the delivery.
authors.affiliation: Klinika Chorób Wewnetrznych i Kardiologii, Warszawski Uniwersytet Medyczny, Warszawa. maciej.kostrubiec@wum.edu.pl
authors.forename: Maciej
authors.initials: M
authors.lastname: Kostrubiec
authors.forename: Nikola
authors.initials: N
authors.lastname: Niewegłowska
authors.forename: Piotr
authors.initials: P
authors.lastname: Pruszczyk
mesh_terms: D019317:Evidence-Based Medicine; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D008429:Maternal Welfare; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000628:therapy*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000628:therapy; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000628:therapy*; D018570:Risk Assessment; D015912:Thrombolytic Therapy / Q000379:methods; D054556:Venous Thromboembolism / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight