Drissi Jihad, Idri Zakaria, Kouach Jaouad, Moussaoui Driss, Dehayni Mohamed
Service de Gynécologie-Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Pan Afr Med J. 2018 Jan 4;29:7. doi: 10.11604/pamj.2018.29.7.12236. eCollection 2018.
Peripartum cardiomyopathy (PP-CMP) or Meadows' syndrom, is a dilated cardiomyopathy which occurs during or following pregnancy. It is characterized by heart failure with a systolic left ventricle ejection fraction of less than 45%. It is rare and its pathophysiologic mechanism is poorly elucidated. From a clinical point of view, it is characterized by unespected heart failure with rapid onset of symptoms, unpredictable evolution and risk of refractory cardiogenic shock, justifying patient's management in Cardiovascular Unit. PP-CMP requires no specific treatment compared to other causes of heart failure. We here report the case of a 29-year old primip at 32 weeks of amenorrhea presenting with congestive heart failure associated with peripartum cardiomyopathy. The aim of this study was to highlight the features of this heart disease which, despite its rarity, should not be disregarded by obstetricians.
围产期心肌病（PP-CMP）或梅多斯综合征，是一种在妊娠期间或之后发生的扩张型心肌病。其特征为心力衰竭，左心室收缩期射血分数低于45%。该病较为罕见，其病理生理机制尚不清楚。从临床角度来看，其特点是意外发生的心力衰竭，症状迅速出现，病情发展不可预测，且有发生难治性心源性休克的风险，这使得患者应在心血管科进行管理。与其他心力衰竭病因相比，PP-CMP无需特殊治疗。我们在此报告一例29岁初产妇，停经32周时出现与围产期心肌病相关的充血性心力衰竭。本研究的目的是强调这种心脏病的特征，尽管其罕见，但产科医生不应忽视。
