Diagnosis and Management of PAH in Special Populations in the UAE
Year: 2024
Type: article
Abstract: : Diagnosis and management of pulmonary hypertension (PH) in special populations, including pregnant women, patients requiring intensive care unit admission, and patients who develop complications such as ascites, pericardial effusion or develop COVID-19 infection, are very challenging. : PH is associated with poor outcomes in pregnant women as the haemodynamic changes during pregnancy greatly increase maternal mortality. If PH is suspected in pregnant women, further investigation using transthoracic echocardiography is essential, and confirmation with right heart catheterisation is required. All global guidelines recommend avoidance of pregnancy in patients diagnosed with PAH. However, if the patient becomes pregnant, the risks involved with the continuation of the pregnancy and termination of the pregnancy should be discussed. : Intensive care may be required in patients with PH for the management of comorbid conditions and following major surgeries and irrespective of the underlying cause of PH, haemodynamic compromise in these patients leads to right heart failure. The PH expert centre plays an important role in the critical care management of patients with PH. Patients with PH may also develop complications such as ascites and pericardial effusion; if not rapidly recognised and treated, these complications can lead to poor prognosis in affected patients. : This chapter aims to provide guidance to healthcare professionals in the clinical decision-making process for the diagnosis and management of PH in special populations.
Source: New Emirates Medical Journal
Authors: Hani Sabbour, Yasser El Hennawi, Ahmed Reda Taha, Mohammed B Al Saiari, Ashraf Alzaabi, Bassam Mahboub, Khaled Saleh, Mohamed Farghaly, Asim A. Elnour, Abdullah Shehab, Hazem El Badaoui, Arun Kumar, Rizwan Ahmed, Mohammad Daud Khan, Mohamed El Harari, Magdi Tofeig, Amrish Agrawal, Hosam Zaky, Noha Yaseen, Govinda Bodi, Ramzi Khashkousha, Usman Ahmed, Sharina Aldhaheri, Wael Al Mahmeed, Bashir Salih, Vivek Kakar, Said Isse, Fady Hamed, Yogeeswari Vellore Satyanarayanan, Aref Al Hakami, Jihad Mallat, Walid Ahmed, Hussein Heshmat
Institutions: Brown University, Cleveland Clinic Abu Dhabi, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, United Arab Emirates University, Zayed Military Hospital, Dubai Health Authority, Al Ain University, Dubai Medical College, Sheikh Shakhbout Medical City, Shaikh Khalifa Medical City, Tawam Hospital, Ras al-Khaimah Medical and Health Sciences University, Dubai Hospital, Mohammed Bin Rashid University of Medicine and Health Sciences, Corniche Hospital, Cleveland Clinic, Cairo University, Cairo University hospitals
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4405610552