<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2022000600005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico y tratamiento de la embolia pulmonar aguda durante el embarazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis and treatment of acute pulmonary embolism during pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Hernández]]></surname>
<given-names><![CDATA[Gleiny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vasallo Peraza]]></surname>
<given-names><![CDATA[Román]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toledo Poey]]></surname>
<given-names><![CDATA[Yoarlen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Docente Ginecobstétrico &#8220;Ramón González Coro&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>21</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2022000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2022000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2022000600005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La embolia pulmonar aguda es una de las causas más frecuentes de mortalidad y morbilidad grave durante el embarazo, sin embargo, no existe un consenso para su diagnóstico definitivo.  Objetivo: Exponer las consideraciones más importantes para el diagnóstico y tratamiento de gestantes con sospecha de embolia pulmonar.  Material y Métodos:  Revisión de la literatura sobre el tema, publicada desde 2012 y hasta la actualidad que incluyó las bases de datos PubMed/MEDLINE, EMBASE, Lilacs y SciELO.  Desarrollo:  Las guías actuales muestran controversias en relación con el uso de reglas de predicción de riesgo, la cuantificación del dímero D y la indicación de estudios de imagen. La evaluación clínica continúa siendo el principal sustrato diagnóstico, pero se ha señalado que tanto una gammagrafía de ventilación-perfusión normal como una angio TC negativa excluyen con precisión la embolia pulmonar durante el embarazo. El uso de heparinas es el tratamiento de elección, mientras que los nuevos anticoagulantes orales no están recomendados en el embarazo a falta de estudios que avalen su seguridad. La fibrinólisis se puede considerar ante gestantes de alto riesgo (hipotensión grave, shock o parada cardiorespiratoria).  Conclusiones:  El manejo de las pacientes debe ser por un equipo multidisciplinario, lo que permitirá obtener mejores resultados maternos y perinatales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute pulmonary embolism is one of the most frequent causes of mortality and serious morbidity during pregnancy; however, there is no consensus on its definitive diagnosis.  Objective:  To expose the most important considerations for the diagnosis and treatment of pregnant women with suspected pulmonary embolism.  Material and Methods: Literature review on the subject, published from 2012 to the present, which included the PubMed/MEDLINE, EMBASE, Lilacs and SciELO databases.  Development:  The current guidelines show controversies in relation to the use of risk prediction rules, the quantification of D-dimer and the indication of imaging studies. Clinical evaluation continues to be the main diagnostic substrate, but it has been pointed out that both a normal ventilation-perfusion scintigraphy and a negative CT angiography accurately exclude pulmonary embolism during pregnancy. The use of heparins is the treatment of choice, while the new oral anticoagulants are not recommended in pregnancy due to the lack of studies that support their safety. Fibrinolysis can be considered in high-risk pregnant women (severe hypotension, shock, or cardiorespiratory arrest).  Conclusions:  The management of these patients should be undertaken by a multidisciplinary team, which will allow better maternal and perinatal results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embolia pulmonar]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[heparina]]></kwd>
<kwd lng="es"><![CDATA[fibrinólisis]]></kwd>
<kwd lng="es"><![CDATA[predicción de riesgo]]></kwd>
<kwd lng="en"><![CDATA[pulmonary embolism]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[heparin]]></kwd>
<kwd lng="en"><![CDATA[fibrinolysis]]></kwd>
<kwd lng="en"><![CDATA[risk prediction]]></kwd>
</kwd-group>
</article-meta>
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