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Review Article| Volume 20, ISSUE 4, P713-730, October 2004

Exacerbation of underlying pulmonary disease in pregnancy

  • Rubin Cohen
    Affiliations
    Department of Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA

    Adult Cystic Fibrosis Center, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040, USA

    Asthma Center, Division of Pulmonary and Critical Care Medicine, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040, USA
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  • Arunabh Talwar
    Affiliations
    Division of Pulmonary, Critical Care and Sleep Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA

    North Shore University Hospital at Manhasset, 300 Community Drive, Manhasset, NY 11030, USA
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  • Linda S. Efferen
    Correspondence
    Corresponding author. Department of Medicine, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY
    Affiliations
    Department of Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA

    Department of Medicine, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040, USA
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      References

        • Edenborough F.P.
        Women with cystic fibrosis and their potential for reproduction.
        Thorax. 2001; 56: 649-655
        • Cystic Fibrosis Foundation
        Patient Registry annual data report. Cystic Fibrosis Foundation, Bethesda (MD)2002
        • Odegaard I.
        • Stray-Pedersen B.
        • Hallberg K.
        • et al.
        Prevalence and outcome of pregnancies in Norwegian and Swedish women with cystic fibrosis.
        Acta Obstet Scand. 2000; 81: 693-697
        • Sawyer S.M.
        • Phelan P.D.
        • Bowes G.
        Reproductive health in young women with cystic fibrosis: knowledge, behavior, and attitudes.
        J Adolesc Health. 1995; 17: 46-50
        • Fair A.
        • Griffiths K.
        • Osman L.M.
        Attitudes to fertility issues among adults with cystic fibrosis in Scotland: the collaborative Group of Scottish Adult CF Centers.
        Thorax. 2000; 55: 672-677
        • Lee W.
        Cardiorespiratory alterations during pregnancy.
        Crit Care Clin. 1991; 7: 763-775
        • Edenborough F.P.
        • Stableforth D.E.
        • Webb A.K.
        • Mackenzie W.E.
        • Smith D.L.
        Outcome of pregnancy in women with cystic fibrosis.
        Thorax. 1995; 50: 170-174
        • Goss C.H.
        • Rubenfeld G.D.
        • Otto K.O.
        • Aitken M.L.
        The effect of pregnancy on survival in women with cystic fibrosis.
        Chest. 2003; 124: 1460-1468
        • Cohen L.F.
        • di Sant'Agnese P.A.
        • Friedlander J.
        Cystic fibrosis and pregnancy: a national survey.
        Lancet. 1980; 2: 842-844
        • Larsen Jr., J.W.
        Cystic fibrosis and pregnancy.
        Obstet Gynecol. 1972; 39: 880-883
        • Matson J.A.
        • Capen C.V.
        Pregnancy in the cystic fibrosis patients.
        J Reprod Med. 1982; 27: 373-375
        • Geddes D.M.
        Cystic fibrosis and pregnancy.
        J R Soc Med. 1992; 85: 36-37
        • Corkey C.W.
        • Newth C.J.
        • Corey M.
        • Levinson H.
        Pregnancy in cystic fibrosis: a better prognosis in patients with pancreatic function?.
        Am J Obstet Gynecol. 1981; 140: 737-742
        • Hilman B.C.
        • Aitken M.L.
        • Constantinescu M.
        Pregnancy and cystic fibrosis.
        Clin Obstet Gynecol. 1996; 39: 70-76
        • Canny G.J.
        • Corey M.
        • Livingston R.A.
        • et al.
        Pregnancy and cystic fibrosis.
        Obstet Gynecol. 1991; 77: 850-853
        • Kotloff R.M.
        • Fitzsimmons S.C.
        • Fiel S.B.
        Fertility and pregnancy in patients with cystic fibrosis.
        Clin Chest Med. 1992; 13: 623-635
        • Matson J.A.
        • Capen C.V.
        Pregnancy in the cystic fibrosis patient: an update.
        J Reprod Med. 1982; 27: 373-375
        • Gilljam M.
        • Antoniou M.
        • Shin J.
        • et al.
        Pregnancy in cystic fibrosis: fetal and maternal outcome.
        Chest. 2000; 118: 85-91
        • Odegaard I.
        • Stray-Pedersen B.
        • Hallberg K.
        • et al.
        Maternal and fetal morbidity in pregnancies of Norwegian and Swedish women with cystic fibrosis.
        Acta Obstet Scand. 2002; 81: 698-705
        • Edenborough F.P.
        Pregnancy in women with cystic fibrosis.
        Acta Obstet Scand. 2002; 81: 689-692
        • Rich S.
        Executive summary from the World Symposium on Primary Pulmonary Hypertension. Evian, France, September 6–10, 1998.
        (Available at:) (Accessed April 14, 2003)
        • Rubin L.J.
        Primary pulmonary hypertension.
        N Engl J Med. 1997; 336: 111-117
        • Connelly M.S.
        • Webb G.D.
        • Somerville J.
        • et al.
        Canadian Consensus Conference on Adult Congenital Heart Disease 1996.
        Can J Cardiol. 1998; 14: 395-452
        • Weiss B.M.
        • Hess O.M.
        Pulmonary vascular disease and pregnancy: current controversies, management strategies, and perspectives.
        Eur Heart J. 2000; 21: 104-115
        • Vongpatanasin W.
        • Brickner M.E.
        • Hillis L.D.
        • Lange R.A.
        The Eisenmenger syndrome in adults.
        Ann Intern Med. 1998; 128: 745-755
        • Findlow D.
        • Doyle E.
        Congenital heart disease in adults.
        Br J Anaesth. 1997; 78: 416-430
        • Robson S.C.
        • Dunlop W.
        • Boys R.
        • et al.
        Cardiac output during labour.
        BMJ. 1987; 295: 1169-1172
        • Schiller N.B.
        Pulmonary artery pressure estimation by Doppler and two-dimensional echocardiography.
        Cardiol Clin. 1990; 8: 277-287
        • Naeje R.
        • Torbicki A.
        More on the noninvasive diagnosis of pulmonary hypertension: Doppler echocardiography revisited.
        Eur Respir J. 1995; 8: 1445-1449
        • Penning S.
        • Robinson K.D.
        • Major C.A.
        • Garite T.J.
        A comparison of echocardiography and pulmonary artery catheterization for evaluation of pulmonary artery pressures in pregnant patients with suspected pulmonary hypertension.
        Am J Obstet Gynecol. 2001; 184: 1568-1570
        • McCaffrey R.N.
        • Dunn L.J.
        Primary pulmonary hypertension in pregnancy.
        Obstet Gynecol Surv. 1964; 19: 567-591
        • Weiss B.M.
        • Zemp L.
        • Seifert B.
        • et al.
        Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996.
        J Am Coll Cardiol. 1998; 31: 1650-1657
        • Yentis S.M.
        • Steer P.J.
        • Plaat F.
        Eisenmenger's syndrome in pregnancy: maternal and fetal mortality in the 1990s.
        Br J Obstet Gynaecol. 1998; 105: 921-922
        • Dawkins K.D.
        • Burke C.M.
        • Billingham M.E.
        • Jamieson S.W.
        Primary pulmonary hypertension and pregnancy.
        Chest. 1986; 89: 383-388
      1. Elkayam U, Dave R, Bokhari SWH. Primary pulmonary hypertension and pregnancy. In: Elkayam U., Gleicher N., editors. Cardiac problems in pregnancy. New York: Wiley-Liss; 1998. p. 183–90

        • Nocturnal Oxygen Therapy Trial Group
        Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease: a clinical trial.
        Ann Intern Med. 1980; 93: 391-398
        • Rich S.
        • Seidlitz M.
        • Dodin E.
        • et al.
        The short-term effects of digoxin in patients with right ventricular dysfunction from pulmonary hypertension.
        Chest. 1998; 114: 787-792
        • Rich S.
        • Kaufmann E.
        • Levy P.S.
        The effect of high doses of calcium-channel blockers on survival in primary pulmonary hypertension.
        N Engl J Med. 1992; 327: 76-81
        • Slomka F.
        • Salmeron S.
        • Zetlaoui P.
        • et al.
        Primary pulmonary hypertension and pregnancy: anesthetic management for delivery.
        Anesthesiology. 1988; 69: 959-961
        • Robinson J.N.
        • Banerjee R.
        • Landzberg M.J.
        • Thiet M.P.
        Inhaled nitric oxide therapy in pregnancy complicated by pulmonary hypertension.
        Am J Obstet Gynecol. 1999; 180: 1045-1046
        • Barst R.J.
        • Rubin L.J.
        • Long W.A.
        • et al.
        A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension: the Primary Pulmonary Hypertension Study Group.
        N Engl J Med. 1996; 334: 296-301
        • Simmonneau G.
        • Barst R.J.
        • Galie N.
        • et al.
        Continuous subcutaneous infusion of treprostinil, a prostacyclin analogue, in patients with pulmonary arterial hypertension: a double-blind, randomized, placebo-controlled trial.
        Am J Respir Crit Care Med. 2002; 165: 800-804
        • Olschewski H.
        • Simonneau G.
        • Galie N.
        • et al.
        Inhaled iloprost for severe pulmonary hypertension.
        N Engl J Med. 2002; 347: 322-329
        • Easterling T.R.
        • Ralph D.D.
        • Schmucker B.C.
        Pulmonary hypertension in pregnancy: treatment with pulmonary vasodilators.
        Obstet Gynecol. 1999; 93: 494-498
        • Noontens M.
        • Rich S.
        Successful management of labor and delivery in primary pulmonary hypertension.
        Am J Cardiol. 1993; 71: 1124-1125
        • Geohas C.
        • McLaughlin V.V.
        Successful management of pregnancy in a patient with Eisenmenger syndrome with epoprostenol.
        Chest. 2003; 124: 1170-1173
        • Monnery L.
        • Nanson J.
        • Charlton G.
        Primary pulmonary hypertension in pregnancy: a role for novel vasodilators.
        Br J Anaesth. 2001; 87: 295-298
        • Sitbon O.
        • Badesch D.B.
        • Channick R.N.
        • et al.
        Effects of the dual endothelin receptor antagonist bosentan in patients with pulmonary arterial hypertension: a 1-year follow-up study.
        Chest. 2003; 124: 247-254
        • Smedstad K.G.
        • Cramb R.
        • Morison D.H.
        Pulmonary hypertension and pregnancy: a series of eight cases.
        Can J Anaesth. 1994; 41: 502-512
        • O'Hare R.
        • McLoughlin C.
        • Milligan K.
        • et al.
        Anesthesia for caesarean section in the presence of severe primary pulmonary hypertension.
        Br J Anaesth. 1998; 81: 790-792
        • Badalian S.S.
        • Silverman R.K.
        • Aubry R.H.
        • et al.
        Twin pregnancy in a woman on long term epoprostenol therapy for primary pulmonary hypertension.
        J Reprod Med. 2000; 45: 149-152
        • Robinson D.E.
        • Leicht C.H.
        Epidural analgesia with low-dose bupivacaine and fentanyl for labor and delivery in a parturient with severe pulmonary hypertension.
        Anesthesiology. 1988; 68: 285-288
        • Nelson D.M.
        • Main E.
        • Crafford W.
        • Ahumada G.G.
        Peripartum heart failure due to primary pulmonary hypertension.
        Obstet Gynecol. 1983; 62: 58s-63s
        • Midwall J.
        • Jaffin H.
        • Herman M.V.
        • Kupersmith J.
        Shunt flow and pulmonary hemodynamics during labor and delivery in the Eisenmenger syndrome.
        Am J Cardiol. 1978; 42: 299-303
        • Kitaichi M.
        Prevalence of sarcoidosis around the world.
        Sarcoidosis Vasc Diffuse Lung Dis. 1998; 15: 16-18
      2. Statement on sarcoidosis: Joint Statement of the American Thoracic Society (ATS), European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG).
        Am J Respir Crit Care Med. 1999; 160: 736-755
        • Baughman R.P.
        • Teirstein A.S.
        • Judson M.A.
        • et al.
        Clinical characteristics of patients in a case control study of sarcoidosis.
        Am J Respir Crit Care Med. 2001; 164: 1885-1889
        • Lympany P.A.
        • du Bois R.M.
        Diffuse lung disease: product of genetic susceptibility and environmental encounters.
        Thorax. 1997; 52: 92-94
        • du Bois R.M.
        • Goh N.
        • McGrath D.
        • Cullinan P.
        Is there a role for microorganisms in the pathogenesis of sarcoidosis?.
        J Intern Med. 2003; 253: 4-17
        • Ziegenhagen M.W.
        • Muller-Quernheim J.
        The cytokine network in sarcoidosis and its clinical relevance.
        J Intern Med. 2003; 253: 18-31
        • Moller D.R.
        • Chen E.S.
        Genetic basis of remitting sarcoidosis: triumph of the trimolecular complex?.
        Am J Respir Cell Mol Biol. 2002; 27: 391-395
        • Rybicki B.A.
        • Harrington D.
        • Major M.
        • et al.
        Heterogeneity of familial risk in sarcoidosis.
        Genet Epidemiol. 1996; 13: 23-33
        • Fite E.
        • Alsina J.M.
        • Anto J.M.
        • Morera J.
        Sarcoidosis: Family contact study.
        Respiration (Herrlisheim). 1998; 65: 34-39
        • Martinetti M.
        • Luisetti M.
        • Cuccia M.
        HLA and sarcoidosis: new pathogenetic insights.
        Sarcoidosis Vasc Diffuse Lung Dis. 2002; 19: 83-95
        • Rybicki B.A.
        • Iannuzzi M.C.
        • Frederick M.M.
        • et al.
        Familial aggregation of sarcoidosis: a case-control etiologic study of sarcoidosis (ACCESS).
        Am J Respir Crit Care Med. 2001; 164: 2085-2091
        • Schurmann M.
        • Reichel P.
        • Muller-Myhsok B.
        • et al.
        Results from a genome-wide search for predisposing genes in sarcoidosis.
        Am J Respir Crit Care Med. 2001; 164: 840-846
        • Selroos O.
        Sarcoidosis and pregnancy: a review with results of a retrospective survey.
        J Intern Med. 1990; 227: 221-224
        • Agha F.P.
        • Vade A.
        • Amendola M.A.
        • Cooper R.F.
        Effects of pregnancy on sarcoidosis.
        Surg Gynecol Obstet. 1982; 155: 817-822
        • Mayock R.L.
        • Sullivan R.D.
        • Greening R.R.
        • Jones Jr., R.
        Sarcoidosis and pregnancy.
        JAMA. 1957; 164: 158-163
        • Brien T.G.
        • Dalrymple I.J.
        A longitudinal study of the free cortisol index in pregnancy.
        Br J Obstet Gynecol. 1976; 83: 361-367
        • Donaldson S.W.
        • Tompsett A.C.
        • Grekin R.H.
        • Curtis A.C.
        Sarcoidosis: V. The effects of pregnancy on the course of disease.
        Ann Intern Med. 1951; 34: 1213-1218
        • Weinberger S.E.
        • Weiss S.T.
        • Cohen W.R.
        • et al.
        Pregnancy and the lung.
        Am Rev Resp Dis. 1980; 121: 559-581
        • Haynes de Regt R.
        Sarcoidosis and pregnancy.
        Obstet Gynecol. 1987; 70: 369-372
        • Noble P.W.
        • Lavee A.E.
        • Jacobs M.M.
        Respiratory diseases in pregnancy.
        Obstet Gyn Clin of North Am. 1988; 15: 391-428
        • Gazioglu K.
        • Kaltreider N.L.
        • Rosen M.
        • Yu P.N.
        Pulmonary function during pregnancy in normal women and in patients with cardiopulmonary disease.
        Thorax. 1970; 25: 445-450
        • Judson M.A.
        An approach to the treatment of pulmonary sarcoidosis with corticosteroids; The six phases of treatment.
        Chest. 1999; 115: 1158-1165
        • Boggess K.A.
        • Easterling R.T.
        • Raghu G.
        Management and outcome of pregnant women with interstitial and restrictive lung disease.
        Am J Obstet Gynecol. 1995; 173: 1007-1014