Factores de riesgo relacionados con hipertensión arterial pulmonar en embarazo en el Hospital Enrique C. Sotomayor durante período 2013-2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Introducción: La hipertensión pulmonar a pesar de ser una enfermedad de baja prevalencia a nivel mundial, es una patología que cada vez tiene una mayor frecuencia en el Ecuador y repercusión importante en las mujeres gestantes con mayor afectación en pacientes con factores de riesgo. Aunque la atención de estas pacientes se ha centralizado en las maternidades de Guayaquil, un grupo de pacientes llevan su atención en el hospital Enrique Sotomayor. Sin embargo, la frecuencia que representa este tipo de embarazos depende del número de niñas con cardiopatías congénitas que llega a edad reproductiva ya que en el embarazo aumenta el hiperflujo y por lo tanto aumenta la hipertensión pulmonar.
Objetivo: Determinar los factores de riesgos relacionados con Hipertensión Pulmonar en embarazo.
Metodología: Se realizó un estudio descriptivo retrospectivo en el que se incluyeron de manera no aleatoria los expedientes de 47 gestantes ingresadas en el Hospital “ENRIQUE SOTOMAYOR” en el periodo 2013 y 2014.
Resultados: La prevalencia de hipertensión arterial pulmonar de gestantes atendidas en el servicio de hospitalización del H.E.S. es en promedio de 0.12% anual.
Conclusiones: La prevalencia de hipertensión pulmonar en el embarazo es baja en el hospital “Enrique Sotomayor”, como resultado de una centralización de la atención de estos pacientes en el sistema de prestación de salud del Ministerio de Salud Pública del Ecuador. El manejo de estas pacientes es adecuado y se traduce en una baja tasa de complicaciones obstétricas y buenos resultados perinatales.
Introduction: Pulmonary hypertension despite being a low prevalence disease worldwide, it is a disease that is becoming more frequent in Ecuador and significant impact on pregnant women with greater involvement in patients with risk factors. Although the care for these patients has been centralized in maternity Guayaquil, a group of patients take their attention on the Enrique Sotomayor Hospital. However, the frequency representing such pregnancies depends on the number of children with congenital heart disease reaching childbearing age because in pregnancy increases the hyperflow and therefore increases pulmonary hypertension. To determine the risk factors associated with pulmonary hypertension in pregnancy. Methodology: A retrospective study that included non-randomly records of 47 pregnant women admitted in the "Enrique Sotomayor" Hospital in the period 2013 and 2014 was performed. Results: The prevalence of pulmonary hypertension in pregnant women at the service of hospitalization H.E.S. it is an average of 0.12% annually. Conclusions: The prevalence of pulmonary hypertension in pregnancy is low in the "Enrique Sotomayor" hospital as a result of a centralization of care for these patients in the health delivery system of the Ministry of Public Health of Ecuador. The management of these patients is appropriate and results in a low rate of obstetric complications and good perinatal outcomes.
Introduction: Pulmonary hypertension despite being a low prevalence disease worldwide, it is a disease that is becoming more frequent in Ecuador and significant impact on pregnant women with greater involvement in patients with risk factors. Although the care for these patients has been centralized in maternity Guayaquil, a group of patients take their attention on the Enrique Sotomayor Hospital. However, the frequency representing such pregnancies depends on the number of children with congenital heart disease reaching childbearing age because in pregnancy increases the hyperflow and therefore increases pulmonary hypertension. To determine the risk factors associated with pulmonary hypertension in pregnancy. Methodology: A retrospective study that included non-randomly records of 47 pregnant women admitted in the "Enrique Sotomayor" Hospital in the period 2013 and 2014 was performed. Results: The prevalence of pulmonary hypertension in pregnant women at the service of hospitalization H.E.S. it is an average of 0.12% annually. Conclusions: The prevalence of pulmonary hypertension in pregnancy is low in the "Enrique Sotomayor" hospital as a result of a centralization of care for these patients in the health delivery system of the Ministry of Public Health of Ecuador. The management of these patients is appropriate and results in a low rate of obstetric complications and good perinatal outcomes.
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Embarazo, Cardiopatías congénitas, Hipertensión arterial pulmonar, Factores de riesgo, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador