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Persistent maternal tachycardia: A clinical alert for healthcare professionals providing maternity care in South Africa

SAMJ: South African Medical Journal, 2022-06, Vol.112 (6), p.403-404 [Peer Reviewed Journal]

COPYRIGHT 2022 Health & Medical Publishing Group ;This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. ;ISSN: 0256-9574 ;ISSN: 2078-5135 ;EISSN: 2078-5135 ;DOI: 10.7196/SAMJ.2022.v112i6.16394

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  • Title:
    Persistent maternal tachycardia: A clinical alert for healthcare professionals providing maternity care in South Africa
  • Author: Moran, N F ; Khaliq, O P ; Ngene, N C ; Moodley, J
  • Subjects: Cardiovascular diseases ; Care and treatment ; Case studies ; Diagnosis ; Health Care Sciences & Services ; Health Policy & Services ; Medical Ethics ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Midwives ; Mothers ; Patient outcomes ; Pregnant women ; Tachycardia
  • Is Part Of: SAMJ: South African Medical Journal, 2022-06, Vol.112 (6), p.403-404
  • Description: Cardiac disease is one of the commonest causes of indirect maternal deaths globally. This brief report is a reminder that isolated maternal tachycardia at rest is a clinical alert and warrants a detailed history in relation to cardiac disorders, thorough clinical examination of all organ systems, relevant investigations such as imaging, and expert advice to avoid serious adverse events. We reflect on a belatedly investigated persistent maternal tachycardia resulting in a fatal postpartum collapse due to mitral stenosis. The lost window of opportunity for appropriate investigation and management of the tachycardia provides an insight into many similar maternal deaths in South Africa. Key clinical messages regarding persistent maternal tachycardia are presented for midwives and doctors caring for pregnant women.
  • Publisher: Health and Medical Publishing Group (HMPG)
  • Language: English;Portuguese
  • Identifier: ISSN: 0256-9574
    ISSN: 2078-5135
    EISSN: 2078-5135
    DOI: 10.7196/SAMJ.2022.v112i6.16394
  • Source: Open Access: African Journals Online
    SciELO
    Geneva Foundation Free Medical Journals at publisher websites
    Alma/SFX Local Collection
    DOAJ Directory of Open Access Journals
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