The pregnant heart: cardiac emergencies during pregnancy

Alyson J. McGregor; Rebecca Barron; Karen Rosene-Montella

doi:10.1016/j.ajem.2015.02.046

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The pregnant heart: cardiac emergencies during pregnancy�?��?��?�

Alyson J. McGregor, MD, MA

Rebecca Barron, MD, MPH

Karen Rosene-Montella, MD

DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.046

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Abstract

Background

Cardiovascular emergencies in pregnant patients are often considered a rare event; however, heart disease as a cause of maternal mortality is steadily increasing.

Discussion

In this article, we review 3 common cardiovascular emergencies and the important subtle differences in their treatment in the pregnant patient: peripartum/postpartum cardiomyopathy, acute myocardial infarction, and cardiac resuscitation.

Conclusion

Managing these conditions in the emergency department setting requires a high index of suspicion, knowledge of anatomical and physiologic changes associated with pregnancy, and updated management strategies related to optimizing maternal and fetal health.

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�?�Prior presentations: None.

�?��?�Funding sources: Sponsored by the Division of Sex and Gender in Emergency Medicine at the Department of Emergency Medicine at Warrant Alpert Medical School of Brown University.

The pregnant heart: cardiac emergencies during pregnancy�?��?��?�

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Article Info

Abstract

Background

Discussion

Conclusion

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