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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="emergency-medicine-and-critical-care" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">345</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2024.41224</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Emergency Medicine and Critical Care</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Approaches to Acute Pulmonary Embolism in High-Risk Pregnancies in the Emergency Department&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Alsaidlani</surname>
            <given-names>Anwar Ahmed</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AlAbdulkareem</surname>
            <given-names>Nora Fahad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Almarhoon</surname>
            <given-names>Sarah Zaki</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alshammari</surname>
            <given-names>Bader Jazzaa</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Aldhafeeri</surname>
            <given-names>Danah Ayyadah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Almubarak</surname>
            <given-names>Nour Abdulgalil</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sheikh</surname>
            <given-names>Mohammed Ahmad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alzahrani</surname>
            <given-names>Abdullah Mohammed</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>26</day>
        <month>12</month>
        <year>2024</year>
      </pub-date>
      <volume>4</volume>
      <issue>12</issue>
      <fpage>829</fpage>
      <lpage>837</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Pulmonary embolism (PE) is a life-threatening complication in pregnancy, particularly for high-risk individuals, and can have severe maternal and fetal consequences if not promptly diagnosed and managed. This narrative review provides an in-depth overview of the current diagnostic and treatment approaches for high-risk PE in pregnant women. It examines the challenges in diagnosing PE due to pregnancy-related physiological changes and the overlap of symptoms with other common conditions, emphasizing the importance of early and accurate identification using clinical risk assessment tools, D-dimer testing, and imaging techniques such as computed tomography pulmonary angiography (CTPA) and ventilation-perfusion (V/Q) scans. The review also discusses the multidisciplinary management approach, focusing on anticoagulation therapy with low-molecular-weight heparin (LMWH) as the first-line treatment, along with the use of thrombolysis, catheter-directed interventions, and surgical embolectomy for severe cases. Preventive strategies, including thromboprophylaxis and early mobilization, are highlighted as crucial for reducing the incidence of PE in high-risk pregnant women. The paper concludes by identifying gaps in the current evidence base, including the need for prospective studies and more research on newer anticoagulants, to improve the management of PE in pregnancy.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Pulmonary embolism</kwd>
        <kwd> pregnancy</kwd>
        <kwd> emergency department</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>