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伴有围产期心肌病的心源性栓塞性卒中:一种不寻常的表现。

Cardioembolic Stroke with Peripartum Cardiomyopathy: An Unusual Presentation.

作者信息

Nasa Prashant, Mortada Mohamed, Ali Alaeldin, Malhotra Vickrant, Koul Kandy, Singh Aanchal

机构信息

Department of Critical Care Medicine, NMC Specialty Hospital, Dubai, UAE.

Department of Neurology, NMC Specialty Hospital, Dubai, UAE.

出版信息

Indian J Crit Care Med. 2021 Jan;25(1):97-99. doi: 10.5005/jp-journals-10071-23708.

DOI:10.5005/jp-journals-10071-23708
PMID:33603310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7874282/
Abstract

Cardioembolic stroke in a patient with peripartum cardiomyopathy (PPCM) patient is rare despite a higher incidence of thromboembolic events. We report a case of acute right middle cerebral artery territory cardioembolic stroke in a postpartum female as the initial presenting feature of PPCM. The patient was thrombolyzed with intravenous alteplase and had an almost complete neurological recovery. Nasa P, Mortada M, Ali A, Malhotra V, Koul K, Singh A. Cardioembolic Stroke with Peripartum Cardiomyopathy: An Unusual Presentation. Indian J Crit Care Med 2021;25(1):97-99.

摘要

尽管围产期心肌病(PPCM)患者血栓栓塞事件的发生率较高,但心源性栓塞性卒中在该类患者中较为罕见。我们报告一例产后女性急性右大脑中动脉区域的心源性栓塞性卒中,这是PPCM的首发表现。该患者接受了静脉注射阿替普酶溶栓治疗,神经功能几乎完全恢复。Nasa P、Mortada M、Ali A、Malhotra V、Koul K、Singh A。围产期心肌病合并心源性栓塞性卒中:一种不寻常的表现。《印度重症监护医学杂志》2021年;25(1):97-99。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/48a6cc1915a9/ijccm-25-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/57a0553378f9/ijccm-25-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/42888ef7821e/ijccm-25-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/48a6cc1915a9/ijccm-25-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/57a0553378f9/ijccm-25-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/42888ef7821e/ijccm-25-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb8/7874282/48a6cc1915a9/ijccm-25-97-g003.jpg

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引用本文的文献

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Reversible Cerebral Vasoconstriction Syndrome and Ischemic Stroke Secondary to Peripartum Cardiomyopathy - Report a Rare Case.产后心肌病继发可逆性脑血管收缩综合征和缺血性中风——报告一例罕见病例。
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2
European Stroke Organisation guidelines on stroke in women: Management of menopause, pregnancy and postpartum.欧洲卒中组织关于女性卒中的指南:绝经、妊娠及产后的管理
Eur Stroke J. 2022 Jun;7(2):I-XIX. doi: 10.1177/23969873221078696. Epub 2022 Mar 29.

本文引用的文献

1
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke.急性缺血性卒中患者早期管理指南:2019年对2018年急性缺血性卒中早期管理指南的更新
Stroke. 2019 Dec;50(12):3331-3332. doi: 10.1161/STROKEAHA.119.027708. Epub 2019 Oct 30.
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Peripartum Cardiomyopathy.围生期心肌病。
Circulation. 2016 Apr 5;133(14):1397-409. doi: 10.1161/CIRCULATIONAHA.115.020491.
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Temporal trends in incidence and outcomes of peripartum cardiomyopathy in the United States: a nationwide population-based study.
美国围产期心肌病发病率及预后的时间趋势:一项基于全国人口的研究。
J Am Heart Assoc. 2014 Jun 4;3(3):e001056. doi: 10.1161/JAHA.114.001056.
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Ischemic Stroke during Pregnancy and Puerperium.妊娠期及产褥期缺血性卒中
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Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy.围生期心肌病的病因、诊断、治疗和管理的现有知识状况:欧洲心脏病学会心力衰竭协会围生期心肌病工作组的立场声明。
Eur J Heart Fail. 2010 Aug;12(8):767-78. doi: 10.1093/eurjhf/hfq120.
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Cerebral embolism as the initial manifestation of peripartum cardiomyopathy.脑栓塞作为围产期心肌病的首发表现
Neurology. 1982 Jun;32(6):668-71. doi: 10.1212/wnl.32.6.668.