Department of Infectious Diseases, Urmia University of Medical Sciences, Urmia, Iran.
School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Med Case Rep. 2021 Mar 19;15(1):143. doi: 10.1186/s13256-021-02751-3.
There are limited data on cardiovascular complications of coronavirus disease 2019 in pregnancy, and there are only a few case reports on coronavirus disease 2019 related cardiomyopathy in pregnancy. Differentiation between postpartum cardiomyopathy and coronavirus disease 2019 related cardiomyopathy in pregnant women who develop severe acute respiratory syndrome coronavirus-2 infection during peripartum could be challenging. Here, we present a case of possible coronavirus disease 2019 related cardiomyopathy in a pregnant patient, followed by a discussion of potential differential diagnosis.
In this case report, we present the case of a young pregnant Iranian woman who developed heart failure with pulmonary edema after cesarean section. She was treated because of low left ventricular ejection fraction and impression of postpartum cardiomyopathy, and her severe dyspnea improved by intravenous furosemide. On day 3, she exhibited no orthopnea or leg edema, but she was complaining of severe and dry cough. Further evaluation showed severe acute respiratory syndrome coronavirus-2 infection.
The possibility of severe acute respiratory syndrome coronavirus-2 infection should be considered in any pregnant woman who develops cardiomyopathy and pulmonary edema.
关于 COVID-19 孕妇心血管并发症的数据有限，且仅有少数关于 COVID-19 相关妊娠性心肌病的病例报告。区分围产期感染严重急性呼吸综合征冠状病毒 2 后发生的产后心肌病与 COVID-19 相关心肌病，对于孕妇而言极具挑战。在此，我们报道了一例可能的 COVID-19 相关妊娠性心肌病病例，并对潜在的鉴别诊断进行了讨论。
本病例报告介绍了一位年轻的伊朗孕妇，她在剖宫产术后出现心力衰竭伴肺水肿。因左心室射血分数降低和疑似产后心肌病而接受治疗，静脉注射呋塞米后其严重呼吸困难得到改善。第 3 天，她无端坐呼吸或腿部水肿，但主诉严重干咳。进一步检查显示严重急性呼吸综合征冠状病毒 2 感染。
任何出现心肌病和肺水肿的孕妇，均应考虑严重急性呼吸综合征冠状病毒 2 感染的可能性。
