Pulmonary embolism in pregnancy with COVID-19 infection: A case report

Sogand Goudarzi1, Fatemeh Dehghani Firouzabadi2, Fatemeh Mahmoudzadeh3

  • 1Division of Cardiovascular Medicine Department of Medicine Beth Israel Deaconess Medical Center Harvard Medical School Boston MA USA.

Clinical Case Reports
|April 6, 2021
PubMed

Insights

Pregnant women in their third trimester face the highest risk of COVID-19 complications. Early diagnosis and prompt medical attention for any COVID-19 symptoms are crucial for maternal and fetal well-being.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Maternal-Fetal Medicine

Background:

  • Third-trimester pregnancies represent a vulnerable population for infectious diseases.
  • COVID-19 poses significant risks for pregnant individuals, potentially leading to severe complications.

Observation:

  • Pregnant women, particularly in the third trimester, are identified as having the highest susceptibility to adverse outcomes from COVID-19 infection.
  • Even mild symptoms of COVID-19 in this demographic warrant immediate medical evaluation.

Findings:

  • Early diagnosis of COVID-19 in pregnant women is directly correlated with improved outcomes.
  • Timely intervention significantly enhances the chances of saving both the mother and the developing fetus.

Implications:

  • Highlights the critical need for heightened vigilance and rapid diagnostic protocols for COVID-19 in late-stage pregnancies.
  • Emphasizes the importance of accessible healthcare for pregnant women experiencing any COVID-19 symptoms to mitigate risks.
  • Underscores the role of early detection in safeguarding maternal and fetal health during the pandemic.

Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
231
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
99
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
114
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
558
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.9K
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
117