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R. Chawla et al.

 

 

 

Table 74.5 Treatment of PPCM

 

 

Nonpharmacological

Drugs for

 

 

measures

routine use

In selected patients

Therapies avoided

Hypertension control

Diuretics

Aldosterone antagonists

Angiotensin-converting

(salt restriction)

 

 

enzyme inhibitors

Fluid restriction

b-Blockers

Inotropes

Angiotensin receptor

 

 

 

blockers

 

Digoxin

Anticoagulation

Many antiarrhythmic drugs

 

Vasodilators

Implantable

Nonsteroidal

 

 

defibrillators

antiinflammatory drugs

 

 

Biventricular pacing

Nondihydropyridine calcium

 

 

Cardiac transplantation

channel blockers

Suggested Reading

1.Munnur U, Bandi V, Guntupalli KK. Management principles of the critically ill obstetric patient. Clin Chest Med. 2011;32:53–60.

The article reviews the management of common serious problems such as hypertensive disorders, sepsis, and hemorrhage in pregnant patients.

2.Hardy-Fairbanks AJ, Baker ER. Asthma IN Pregnancy: pathophysiology, diagnosis and management. Obstet Gynecol Clin N Am. 2010;37:159–72.

This article addresses the group of pregnant women with symptomatic asthma as well as those whose asthma is asymptomatic as a result of good control.

3.Cruz MO, Briller J, Hibbard JU. Update on peripartum cardiomyopathy. Obstet Gynecol Clin N Am. 37;2010:283–303.

This article discusses the pathogenesis, risk factors, diagnosis, management, and prognosis of the peripartum cardiomyopathy.

4.Hanania NA, Cazzola M. Acute respiratory failure during pregnancy. Eur Respir Mon. 2006;36:241–58.

This review focuses on the clinical manifestations and management issues of the most common causes of respiratory failure during pregnancy.

5.Bandi VD, Munnur U, Matthay MA. Acute lung injury and acute respiratory distress syndrome in pregnancy. Crit Care Clin. 2004;20:577–607.

This article focuses on developments related to ALI and ARDS and reviews epidemiology, pathogenesis, and therapeutic advances during pregnancy.

6.Avecillas JF, Falcone T, Arroliga AC. Ovarian hyperstimulation syndrome. Crit Care Clin. 2004;20:679–95.

This article reviews the management of OHSS.

7.Miller MA, Chalhoub M, Bourjeily G. Peripartum pulmonary embolism. Clin Chest Med. 2001;32:147–64.

A review article on the management of pulmonary embolism in the peripartum period.

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