Management of anesthesia in pregnant women with pulmonary hypertension

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dc.contributor.authorSoner, H. Tosun
dc.contributor.authorBulut, E.
dc.contributor.authorUzundere, O.
dc.contributor.authorSoner, S.
dc.contributor.authorYildirim, Z. Baysal
dc.contributor.authorKuyumcu, M.
dc.date.accessioned2024-04-24T17:37:38Z
dc.date.available2024-04-24T17:37:38Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE: Pulmonary hypertension (PH) is a rare heart disease associated with high maternal and fetal mortality. This study aims to discuss anesthesia management and the fetal and maternal outcomes of patients with PH followed-up at our clinic. PATIENTS AND METHODS: This study includes a retrospective analysis of 105 pregnant women with PH. The patients were classified according to the mean pulmonary artery pressure (mPAP) values measured at rest by transthoracic echocardiography. The first group included patients with an mPAP value between 25 and 49 mmHg, considered to have a mild PH, whereas patients with an mPAB value >= 50 mmHg were considered to have severe PH and were included in the second group. RESULTS: When the patients were examined for etiology, the majority (n=84, 70.5%) were found to have type 2 PH. It was found that in pregnant women with severe PH, the diameters of the left atrium, right atrium, and right ventricle were significantly larger (p=0.008, p=0.04, and p=0.013, respectively), and the ejection fraction was also significantly lower (p=0.04). CONCLUSIONS: Although there has been a partial decrease in mortality for PH in recent years, it is still a serious condition that requires a multidisciplinary approach and well -planned obstetric treatment.en_US
dc.identifier.endpage11322en_US
dc.identifier.issn1128-3602
dc.identifier.issue23en_US
dc.identifier.pmid38095380en_US
dc.identifier.scopus2-s2.0-85179766903en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage11315en_US
dc.identifier.urihttps://hdl.handle.net/11468/21081
dc.identifier.volume27en_US
dc.identifier.wosWOS:001159340600018
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPulmonary Hypertensionen_US
dc.subjectMean Pulmonary Artery Pressureen_US
dc.subjectPregnancyen_US
dc.subjectAnesthesia Managementen_US
dc.titleManagement of anesthesia in pregnant women with pulmonary hypertensionen_US
dc.typeArticleen_US

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