Podcast #36: Pulmonary Embolism in Pregnancy

pregnancyRun Time: 4 minutes

Author: Dr. Nicholas Hatch

Educational Pearls:

  • Risk of DVT and PE does go up with pregnancy and increases in each trimester. 1 in 50,000 people develop blood clots in the first trimester with 1 in 10,000 people developing blood clots in the second trimester.
  • The risk for PE or DVT in pregnancy is about 3 in every 10,000 people. Comparatively, the risk for pre-eclampsia in pregnancy is 340 in every 10,000 people.
  • Two third of the blood clots found in pregnancy are DVTs.
  • The D-Dimer cut off in pregnancy is 0.75 in the first trimester, 1 in the second trimester, and 1.25 in the third trimester.
  • A perfusion-only VQ scan has the lowest radiation of imaging for PE.

Link to Podcast: http://medicalminute.madewithopinion.com/pulmonary-embolism-in-pregnancy-1/

References: http://www.uptodate.com/contents/deep-vein-thrombosis-and-pulmonary-embolism-in-pregnancy-treatment

http://atvb.ahajournals.org/content/29/3/326.full

 

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