Kardiopulmonale Notfälle in Schwangerschaft und Postpartalperiode

Abstract

The number of patients who develop cardiac problems during pregnancy are increasing and represent to date the major cause of maternal death in western countries. Pregnancy induces several changes which together increase the hemodynamic burden on the cardiovascular system and can also cause a prothrombotic state. Hence, latent or apparent cardiac disease can acutely decompensate during pregnancy. From a cardiovascular perspective, pregnancies are most often complicated by acute coronary syndromes, peripartum cardiomyopathy, arrhythmias, or pulmonary embolism. Due to potential fetal harm conventional diagnostic and therapeutic approaches are limited by the restricted use of radiogenic cardiac imaging and applicable medications. Therefore, knowledge about available therapeutic options is of greatest importance, since guideline recommendations have clearly been demonstrated to reduce morbidity and mortality in acute cardiac emergencies during pregnancy.

A Comparative Evaluation of the Effects of N95 and Surgical Facemasks on Pregnant Women Performing Moderate-Intensity Exercise: A Prospective Randomized Study

“…This is related to the potential effect of a protective face piece in obstructing gaseous exchange [1,2]. The physiological changes in pregnancy increase the haemodynamic burden on cardio-pulmonary systems [3]. These changes are adaptations to meet the metabolic demands of the mother and the developing fetus [4][5][6].…”