Pregnant woman with pulmonary hypertension
Peregud-Pogorzelska, Młgorzata.; Kornacewicz-Jach, Zława.
Przeglad Lekarski 72(4): 193-195
2015
ISSN/ISBN: 0033-2240 PMID: 26455018 Document Number: 681758
Pulmonary hypertension is a disease with diverse etiology. According to the New ESC guidelines, pregnancy is contraindicated for a patent with pulmonary hypertension and qualify such patent to class IV NYHA, regardless of the reason of hypertension. Pregnancy is revived for a patient with pulmonary hypertension despite of the fact that recent treatment methods including specific therapy with the endothelin receptor antagonistst (bosentan), phosphodiesterase inhibitors (sildenafil) and prostacyclin analogs (iloprost) were introduced. In the case of coincidence of pregnancy and pulmonary hypertension, patients should be managed in a center with expertise in pulmonary hypertension with all therapeutic options available.