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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
Sanoj Chacko1,2, Joseph De Bono2, Howard Marshall2
1Heart Rhythm Service, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Abstract:
Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.
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