Crucial approaches to diagnostics and anaemia treatment in pregnant women with heart failure at the extragenital pathology clinic
Keywords:aneamia, pregnancy, heart failure, diagnostics, treatment, Maltofer
According to modern concepts, aneamia can be a cause of chronic heart failure (CHF) and its result. According to diff erent sources aneamia of chronic disease is the most frequent among patients with the CHF and it is observed in cases of over than 50% patients.
There can be no doubt that combination of aneamia and heart failurein pregnant aggravates the outcomes, increases a risk of severe «cardiac events», and perinatal complications. Overlap of aneamia and heart failure can cause a high risk of fetus growth inhibition, prematurity, a low-birth-weight infant.
According to the foregoing we proved the following examination algorithm for pregnant women with congenital heart diseases of various ethiology and NYHA II–III heart failure.
1. Clinical blood test (reduction in a haemoglobin level below the standard by trimesters – treatment of aneamia). If the heamoglobin level remains within normal limits for a certain trimester but there have been observed signs of apparent heart failure, disorders of life qualities (dyspnea, undue fatiguability, cardiac pains), then the algorithm provides the following examination:
2. C-reactive protein (avoidance of the active phase of the infl ammatory process).
4. Transferrin saturation.
5. Brain natriuretic peptide.
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Copyright (c) 2014 Yuliya Vladimirovna Davydova, K. G. Apresova, А. А. Ogorodnik, А. N. Mokrik, A. Yu. Limanskaya, L. P. Butenko, A. V. Pashynnyi
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