Belen Erdal, Tipi Fahri Fatih, Helvaci Aysen, Bayyigit Akif
Department of Cardiology, Okmeydani Training and Research Hospital, Turkey.
Intern Med. 2015;54(8):925-7. doi: 10.2169/internalmedicine.54.2714. Epub 2015 Apr 15.
We herein report the case of a preeclampsia patient with comorbid peripartum cardiomyopathy (PPCMP). A 22-year-old woman in the 26th week of gestation was admitted with acute pulmonary edema. Hypertension and proteinuria were detected, and echocardiography showed an ejection fraction of 33%. It is remarkable that PPCMP particularly that associated with preeclampsia was observed in the early gestational period. In conclusion, while dyspnea and pretibial edema are often noted during normal pregnancies, the potential for PPCMP should be considered if these symptoms are excessive and/or comorbid paroxysmal nocturnal dyspnea and orthopnea are present, even in patients with preeclampsia.
我们在此报告一例患有围产期心肌病（PPCMP）合并症的先兆子痫患者。一名妊娠26周的22岁女性因急性肺水肿入院。检测到高血压和蛋白尿，超声心动图显示射血分数为33%。值得注意的是，在妊娠早期观察到了围产期心肌病，特别是与先兆子痫相关的围产期心肌病。总之，虽然在正常妊娠期间经常会出现呼吸困难和胫前水肿，但即使是先兆子痫患者，如果这些症状过度和/或合并阵发性夜间呼吸困难和端坐呼吸，也应考虑围产期心肌病的可能性。
