Circulatory collapse in a parturient undergoing cesarean delivery: a diagnostic dilemma

Tawfik, Mona K.; Taman, M.E.; Tarbay, A.I.; Sayed, MJ El; Awad, Karim

doi:10.1016/j.ijoa.2017.05.004

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…The least common indication is likely that of the pregnant patient who presents critically ill with hemodynamic collapse, or with severe acute cardiopulmonary symptoms. Although this is a rare occurrence and often times the cause is clinically evident, anecdotal reports in pregnant females 49 along with data from the emergency medicine and intensive care literature have demonstrated the utility of FOCUS in this setting. 48,50 Acquiring competence in FOCUS Numerous reports have attested to the attainment of competency in FOCUS in disparate clinical groups.…”

Section: Focus In Patients With Severe Cardiopulmonary Symptomsmentioning

confidence: 99%

Focused cardiac ultrasound in pregnancy

Edwards

Anyaogu

Mezue

et al. 2023

Journal of Investigative Medicine

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Cardiac disease in pregnancy is an important cause of maternal morbidity and mortality. In many high-income countries, acquired cardiac disease is now the largest cause of maternal mortality. Given its prevalence in low- and middle-income countries (LMICs), rheumatic heart disease is the most common cause of cardiac disease in pregnancy worldwide and is associated with poor maternal outcome. The diagnosis of cardiac disease in pregnancy is often delayed resulting in excess maternal morbidity and mortality. Maternal mortality review committees have suggested that prompt recognition and treatment of heart disease in pregnancy may improve maternal outcome. Given the similarities between symptoms of normal pregnancy and those of cardiac disease, the clinical diagnosis of heart disease in pregnancy is challenging with echocardiography being the primary diagnostic modality. Focused cardiac ultrasound (FOCUS) at the point of care provides supplemental data to the history and physical examination and has been demonstrated to permit early diagnosis and improvement in the management of cardiac disease in emergency medicine, intensive care, and anesthesia. It has also been demonstrated to be useful in surveillance for rheumatic heart disease in LMICs. The use of FOCUS may allow earlier and more accurate diagnosis of cardiac disease in pregnancy with the potential to decrease morbidity and mortality in both developed and developing countries.

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Section: Focus In Patients With Severe Cardiopulmonary Symptomsmentioning

confidence: 99%