Heart Science Journal
Vol 1, No 4 (2020): Acute Coronary Syndrome in Daily Practice : Diagnosis, Complication, and Managem

Mortality Prevention in Pregnancy With Pulmonary Arterial Hypertension

Olivia Handayani (Departement of cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia)
Mohammad Saifur Rohman (Departement of cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia)
Ardian Rizal (Departement of cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia)
Setyasih Anjarwani (Departement of cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia)



Article Info

Publish Date
23 Dec 2020

Abstract

Background : Pulmonary hypertension (PH) is a global disease that affects all age groups and progresses in later years. Pregnancy with PH has a poor prognosis, and it is because of delayed diagnosis or even undiagnosed. PH gives high-risk to the mother and fetus; therefore, arranging a multidisciplinary team for pregnancy and delivery management is required.Objective : This case report was structured to emphasize mortality prevention in pregnancy with PH.Case : A 23-year-old female was admitted to the hospital with a chief complaint of dyspnea at rest. She was 34-week pregnant pregnancy and previously had a history of abortion with similar symptoms. After conducting some examinations, the patient was diagnosed with pulmonary hypertension. We planned for lung maturation for the fetus, scheduled termination, delivery method, and post-delivery care. The fetus was dead intra-uterine on day 5 of care, and the mother passed away 24 hours later.Conclusion : In summary, pregnancy was not advised in women with pulmonary hypertension. The collaboration and management by a multidisciplinary team are essential to improve outcomes if the pregnancy was still wanted.

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Journal Info

Abbrev

heartscience

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology

Description

HEART SCIENCE is the official open access journal of Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. The journal publishes articles three times per year in January, May, and September. The ...