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一位 19 岁患有肺动脉高压的孕妇,出现进行性呼吸困难。

A 19-Year-Old Pregnant Woman With Pulmonary Hypertension With Progressive Dyspnea.

机构信息

Department of Cardiology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Department of Cardiology, Memorial Hospital, Istanbul, Turkey.

出版信息

Chest. 2021 Jun;159(6):e371-e375. doi: 10.1016/j.chest.2020.12.048.

Abstract

A 19-year-old pregnant woman at week 32 of gestation was referred to our clinic with progressive shortness of breath for the further evaluation and treatment of high-risk pregnancy. Her complaints had been existing since her childhood. Two years prior to her admission, she had been diagnosed with heart failure with preserved ejection fraction due to cardiomyopathy and associated pulmonary hypertension. The patient had no family history of any cardiac disease. She had never smoked or drunk alcohol. Her clinical condition had deteriorated progressively with the pregnancy.

摘要

一位 19 岁的孕妇,妊娠 32 周,因高危妊娠进一步评估和治疗而被转至我院。她自幼即有呼吸困难的症状。入院前 2 年,她因心肌病和相关肺动脉高压导致射血分数保留型心力衰竭被诊断为心力衰竭。该患者无任何心脏疾病家族史。她从不吸烟或饮酒。随着妊娠的进展,她的临床状况逐渐恶化。

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