Abstract

SAENZ MADRIGAL, Manuel Eduardo  and  VINDAS MORERA, Carlos Adrián. Heart Failure in Pregnancy. Rev. costarric. cardiol [online]. 2013, vol.15, n.2, pp.35-43. ISSN 1409-4142.

Cardiac arrest in pregnancy presents a unique scenario involving two patients: the mother and fetus. Management of this scenario requires a multidisciplinary team including specialists in anesthesia, obstetrics, neonatology, cardiology and cardiac surgery sometimes. The protocols for basic life support and advanced cardiac life support should be implemented, however, given the anatomical and physiological changes that occur in pregnancy, some modifications in the algorithms are fundamental. Existing evidence about the management of cardiac arrest in pregnancy is relatively insufficient, lacking randomized trials, so the recommendations are based on small cohort studies and case reports, as well as expert opinion. In this review we discuss cardiac arrest in pregnancy, its implications and appropriate management by the multidisciplinary team, and the time in which they must perform caesarean section in case of no return of spontaneous circulation (ROSC).

Keywords : cardiac; arrest; resuscitation; cardiopulmonary and pregnancy.

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