Pulmonary embolism during pregnancy: Difficulties in diagnosis and management

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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.

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作者简介

Oleg Uryasyev

Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia

编辑信件的主要联系方式.
Email: uvryasev08@yandex.ru
ORCID iD: 0000-0001-8693-4696

MD, Dr. Sci. (Medicine), professor, head of the Department of faculty therapy named after professor V.Ya. Garmash

俄罗斯联邦, Ryazan

Alexandra Solovieva

Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia

Email: savva2005@bk.ru
ORCID iD: 0000-0001-7896-6356

MD, Dr. Sci. (Medicine), associate professor, professor of the Department of faculty therapy named after professor V.Ya. Garmash

俄罗斯联邦, Ryazan

Sergey Aksentyev

Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia

Email: aksentievs@mail.ru
ORCID iD: 0000-0002-0507-520X

MD, PhD (Medicine), associate professor of the Department of faculty therapy named after professor V.Ya. Garmash

俄罗斯联邦, Ryazan

Victoria Sidorova

“Network of Family Medical Centers Region No. 2” LTD

Email: vp.sidorova@mail.ru
ORCID iD: 0000-0003-0592-9428

MD, physician, cardiologist

俄罗斯联邦, Ryazan

Gennady Miloserdov

“Network of Family Medical Centers Region No. 2” LTD

Email: gekkos@mail.ru
ORCID iD: 0009-0009-7402-1959

MD, head of the line “Therapy”

俄罗斯联邦, Ryazan

Ekaterina Nikiforova

Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia

Email: ekaterina250499@gmail.com
ORCID iD: 0000-0003-1133-9176

1st year resident in the specialty “General medical practice” of the Department of outpatient therapy, preventive medicine and general medical practice

俄罗斯联邦, Ryazan

Alexey Cheskidov

Academician I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of Russia

Email: a.v.cheskidov@yandex.ru
ORCID iD: 0000-0001-9468-0438

MD, PhD (Medicine), associate professor of the Department of nursing

俄罗斯联邦, Ryazan

参考

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2. Fig. 1. Electrocardiogram of the observed patient upon admission

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3. Fig. 2. Results of echocardiography of the observed patient: A - from 11/14/2019, B - from 11/29/2019

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