Acute Ischemic Stroke in the Postpartum Period
During pregnancy and delivery, the risk of cerebrovascular disorders increases due to several physiological changes. The elevated level of estrogen stimulates the production of clotting factors, which deteriorates the risk of thromboembolism. Increased plasma volume and total blood volume lead to th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2022-02-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/632 |
| _version_ | 1797696827177304064 |
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| author | A. V. Dikov A. V. Pyregov V. D. Mikhaylova V. G. Bychenko |
| author_facet | A. V. Dikov A. V. Pyregov V. D. Mikhaylova V. G. Bychenko |
| author_sort | A. V. Dikov |
| collection | DOAJ |
| description | During pregnancy and delivery, the risk of cerebrovascular disorders increases due to several physiological changes. The elevated level of estrogen stimulates the production of clotting factors, which deteriorates the risk of thromboembolism. Increased plasma volume and total blood volume lead to the risk of hypertension, and the high level of progesterone in the third trimester of pregnancy promotes the permeability of small blood vessels. The risk of developing cerebrovascular complications remains high in the postpartum period. The article describes two clinical cases of postpartum ischemic stroke as a complication after surgical delivery in young women with an aggravated somatic medical history. The treatment and follow-up of these patients during their stay in the intensive care unit included changes in management tactics, use of antiplatelet, anticoagulant, and metabolic therapy, and subsequent rehabilitation. This article describes the case-management interventions and changes in neurological symptoms of these patients, also it discusses the most likely etiological factors of cerebrovascular disorders in these cases |
| first_indexed | 2024-03-12T03:31:45Z |
| format | Article |
| id | doaj.art-5cc7e93c3cb54ba083d6546d6ed5a321 |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T03:31:45Z |
| publishDate | 2022-02-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-5cc7e93c3cb54ba083d6546d6ed5a3212023-09-03T13:24:41ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-02-011919910410.21292/2078-5658-2022-19-1-99-104503Acute Ischemic Stroke in the Postpartum PeriodA. V. Dikov0A. V. Pyregov1V. D. Mikhaylova2V. G. Bychenko3Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В. И. КулаковаНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В. И. КулаковаНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В. И. КулаковаНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В. И. КулаковаDuring pregnancy and delivery, the risk of cerebrovascular disorders increases due to several physiological changes. The elevated level of estrogen stimulates the production of clotting factors, which deteriorates the risk of thromboembolism. Increased plasma volume and total blood volume lead to the risk of hypertension, and the high level of progesterone in the third trimester of pregnancy promotes the permeability of small blood vessels. The risk of developing cerebrovascular complications remains high in the postpartum period. The article describes two clinical cases of postpartum ischemic stroke as a complication after surgical delivery in young women with an aggravated somatic medical history. The treatment and follow-up of these patients during their stay in the intensive care unit included changes in management tactics, use of antiplatelet, anticoagulant, and metabolic therapy, and subsequent rehabilitation. This article describes the case-management interventions and changes in neurological symptoms of these patients, also it discusses the most likely etiological factors of cerebrovascular disorders in these caseshttps://www.vair-journal.com/jour/article/view/632острое нарушение мозгового кровообращенияинсультпреэклампсиягипертензивные расстройстварегионарная анестезиякомбинированная спинально-эпидуральная анестезиябеременностькесарево сечение |
| spellingShingle | A. V. Dikov A. V. Pyregov V. D. Mikhaylova V. G. Bychenko Acute Ischemic Stroke in the Postpartum Period Вестник анестезиологии и реаниматологии острое нарушение мозгового кровообращения инсульт преэклампсия гипертензивные расстройства регионарная анестезия комбинированная спинально-эпидуральная анестезия беременность кесарево сечение |
| title | Acute Ischemic Stroke in the Postpartum Period |
| title_full | Acute Ischemic Stroke in the Postpartum Period |
| title_fullStr | Acute Ischemic Stroke in the Postpartum Period |
| title_full_unstemmed | Acute Ischemic Stroke in the Postpartum Period |
| title_short | Acute Ischemic Stroke in the Postpartum Period |
| title_sort | acute ischemic stroke in the postpartum period |
| topic | острое нарушение мозгового кровообращения инсульт преэклампсия гипертензивные расстройства регионарная анестезия комбинированная спинально-эпидуральная анестезия беременность кесарево сечение |
| url | https://www.vair-journal.com/jour/article/view/632 |
| work_keys_str_mv | AT avdikov acuteischemicstrokeinthepostpartumperiod AT avpyregov acuteischemicstrokeinthepostpartumperiod AT vdmikhaylova acuteischemicstrokeinthepostpartumperiod AT vgbychenko acuteischemicstrokeinthepostpartumperiod |