Thromboembolic Disorders during Pregnancy: Cardiologist Perspective

Abstract

The hematologic changes which occur during pregnancy make it a hypercoagulable state. Various factors such as hereditary thrombophilia, obesity, etc. increase the risk of venous thromboembolism in these patients. Though the prevalence is low, it can contribute to significant mortality and morbidity. Deep vein thrombosis is the most common type of venous thromboembolism and pulmonary embolism can sometimes be fatal. Various diagnostic modalities like compression duplex ultrasound of leg veins, echo, ventilation-perfusion scan, and computed tomographic pulmonary angiogram can help in diagnosis. Proper treatment can improve both maternal and fetal outcome.

Knowledge and Prevalence of Risk Factors for Deep Vein Thrombosis Among Adult Saudi Population

“…The fact that more men (59) versus women (47) exhibited incidences of DVT showed an increased risk in males than in females, a finding that supported with the existing literature that men have a higher chance at DVT than women (Roach et al,, 2014) (18). Recently pregnant women could be at a higher risk of developing DVT than other women, potentially due to the increased weight during pregnancy (Hedge, 2018) (19). Age was not a significant predictor of DVT, an inconsistent factor when compared to the findings of Fujiwara et al (2019)(20).…”

Cardio-obstetrics in India: The Mission, the Scope and the Road Ahead

“…Moreover, the diagnosis and management of acute catastrophies as deep vein thrombosis and pulmonary embolism during pregnancy, acute myocardial infarction, and spontaneous coronary dissection during pregnancy could have an active involvement of cardio-obstetrics team. [12,13] The benefit of this team work could also be extended to pregnant patients with assisted reproductive techniques, elderly primigravida and their related hemodynamic and cardiovascular issues. The genetic screening and fetal echocardiograms would be performed as indicated.…”