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235 An Assessment of Health Care Worker Safety during COVID-19 by T. Firew; C. Greene; K. Salman; E. Sano; S. Flores; J. Lee; K. Lang; B. Chang is a Medicine article available to read on EtoBox.

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Background: Severe idiopathic PAH and some cardiac diseases especially if they are associated with PH and RV dysfunction have an extremely high mortality during pregnancy. Pregnancy is an absolute contraindication in these diseases. case: 35 year old female at 37 weeks of pregnancy without previous history was referred after a murmur was heard during an immigration work up. She reported dyspnea, chest pain and near syncope while walking up an incline a week ago. Exam showed regular rhythm, normal rate, elevated JVP, loud S2, 4/6 holosystolic murmur at the RUSB with a thrill, trace leg edema and clear lungs. decision Making: TTE showed normal LV function, moderately dilated RV with moderately reduced systolic function, mildly dilated RA with mild TR and PR. RVSP was estimated 82mmHg. RHC showed CO 4.2 L/min, PAP 106/35 mmHg and PCWP 10mmHg. She was admitted in the CICU for hemodynamic optimization before delivery and the diagnosis of idiopathic PAH was made. She was diuresed with CVP goal 6-8mmHg. Epoprostenol IV was started and uptitrated to 7ng/Kg/min. Fetus' heart rate was continuously externally monitored. Given the severity of the PH and RV dysfunction it was decided to proceed

Who reads 235 An Assessment of Health Care Worker Safety during COVID-19?

Author

T. Firew; C. Greene; K. Salman; E. Sano; S. Flores; J. Lee; K. Lang; B. Chang

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

2020

Language

EN

Field

Medicine (Health Sciences)